APPLICATIONFORM

MajorLeagueSoccerTicketAllocation

ThroughtheUniversityofMinnesotaGoodNeighborFund

WithAppreciationtoMinnesotaUnitedFC

2018Season

Applications are due bynoon Friday,March 30,forthe Saturday, 31 March,game andFriday,April 20,forthe rest of the games

Beforecompletingthisform,applicantsshouldreadandunderstandtheProgramGuidelines.

Applicantorganization:

1.Organization Name:

2.Legally organized as (e.g.aprivate,nonprofit501(c)(3)corporation;anagencyofa unitoflocalgovernment;etc.):

3.CEOorindividuallegallyauthorizedtosignonbehalfoftheorganization:

Name:

Email Address:

Postal mailing address:

PersonResponsibleforthisActivity:

1.Pointofcontactfortheorganizationwhowillberesponsiblefortheimplementationof these activities:

Name:

Email Address:

Postal mailing address:

Eligible Organizations:

1.Whatistheapplicantorganization’sservicearea?(Eligibleareasincludethe MinneapolisneighborhoodsCedarRiverside/WestBank,Marcy-Holmes,ProspectPark, andSouthEastComo;SaintPaulneighborhoodSaintAnthonyPark;andtheCityof FalconHeights):

2.Whatis yourexperience organizingtrips oroutings foryouth andrecruiting chaperones?(Giveexamples.)

3.Howandfromwhatgroupswilladultchaperonesberecruited?(It’sarequirementthattherebeatleastoneadultchaperoneforeachfiveyouth8-12yearsold;and anadditionalatleastoneadultchaperoneforeach10youthovertheageof12.)

TicketUse: Fill out this chart for the dates for which you are requesting tickets.

Game Date and Time / Number of Tickets Requested / Forwhomwilltheticketsbeused?
(nameor
descriptionofgroup;agerange;adultchaperones…) / Howwilltheyouthandchaperonesgettothegame?(Modesoftransportationwe plantouse.)
Saturday, 17 March 2018, 6:30 p.m.
MN United vs. Chicago FIre

Transportationofyourgrouptothegame:

Willthecostoftransportationbeabarriertotheabilityofyourorganizationto participate?

YesNo

Assurances and Signature:

Asthepersonauthorizedtosignonbehalfoftheapplicantorganization,Icertifythat:

●IhavereadandwillcomplywiththeProgramGuidelinesandanyotherrequirementsnecessarytoimplementthisactivityeffectivelyandsafely.

●Our organization will be solely responsible for carrying out the activities in this proposal and for the safety of the participants, and the University of Minnesota, Minnesota United FC, and any other party associated with the Good Neighbor Fund will not be liable for any resulting injury, property loss, or damage.

●Ourorganizationisbasedin,andthisactivitywillserveyouthin,thestadium areacommunitiesasdefinedintheProgramGuidelines;

●Ourorganizationhasasuccessfultrackrecordoforganizingsimilartripsoroutingsandsupervisingyouth;

●Ourorganizationwillensurethattherearetheminimumnumberofadultchaperoneswhoparticipateinactivitiesproposed as required in the Program Guidelines;

●Ourorganizationwillusetheticketsfortripstosoccermatchesorganizedandledbyourorganization,foryouthages8 to 17andtheirchaperones,andasdescribedintheapplication.Ifafterreceivingacommitmentoftickets,ourorganizationisnolongerabletousethosetickets,wewillgivetimelynoticetotheUMNGoodNeighborFundstaffcontactsatleast48hoursbeforethestartofthematch;

●Ourorganizationcommitstoprovide,within five business days following the game,areportonouruseoftickets, oneormorephotographsofourgroupontheiroutingto thegame and a note of thanks to MN United sent to .

●Our organization will authorize the UMN Good Neighbor Fund to use, reproduce, and distribute the photographs in print and electronic form forpublications and will certify that it has obtained all necessary consents and authorizations from its group participants included in the photographs.

●Our organization understands that applying for tickets is not a guarantee that we will receive tickets.

Name of CEOorindividualauthorizedto

signonbehalfoftheorganization

PRINT name of CEOorindividualauthorizedto

signonbehalfoftheorganization

Date:

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