Achievement Award Application

Urban Xtreme Achievement Award Application

To receive Urban Xtreme Achievement Awards for your school, sports club or community organisation, complete the application below and we will be in contact soon. *Required

Organisation Name*
Type of Organisation*
Type of Sport*
Postal Address*
Line 1 Line 2 City State / Province / Region ZIP / Postal Code
Information about the behavioural/rewards program*
Briefly explain how the awards will be utilised to help your participants or students
How many awards do you estimate you will need for your program in a 6 month period?*
What age group will the awards be used for?*
Start Date*
DD slash MM slash YYYY
Number of Junior Teams Requiring Awards (>13)*
Number of Senior Teams Requiring Awards (<14)*
Total Number of Players at Club (approx)*
Season Start Date*

Day
Month
Year
Number of Weeks in Season*
Number of Weeks in the Term*
Additional Information
Any other information you would like to share about your organisation - include advertising & sponsorship opportunities, fundraising or other events that Urban Xtreme may be interested in supporting
Contact #1*
Name Role
Contact #1*
Phone Email Preferred Contact Method & Time
Contact #2
Name Role
Contact #2
Phone Email Preferred Contact Method & Time
- Yes, I would like to receive news, exclusive offers and specials from Urban Xtreme

Book Session Book Party MEMBERS Sign Waiver

Book Session Book Party MEMBERS Sign Waiver

Achievement Award Application

Urban Xtreme Achievement Award Application