PENNINES TOWNS HIP FUNIS 2017118APPLICATION FORM

1

ROCH DALEBOROUGH COUNCH.

REFPF/03/1 7

Please read the Temis & Conditions and Guidance for Applicants. If you need advice or support tocomplete your application form, please contact Pennines Township Office.

F SECTION 1 - NAME OF PfOJECT

[me of project / ifl( £CC)IF1 £ C /& fOySJ

SEC11ON 2 - APPLICANT DETAILS

a) Nameofor9anlsationJ(/TflôMGiCj/f i’tiqC4 UMO)’\J

b) Type of organisationI fl I LI IT] P []

Voluntaryl Registered I Sports! Limited I Private I Social I Othercommunity I charity I leisure dub I company I company I enterprise I type

c) Alms and objectlvs of your organisation and activities or services it provides

oqR7U7T52dcib< lj-a 12 (P1 C) df- a/I lece(s, 11US C?r7ci

t&5 doc/e ,?c’ab9 mii /iciw i/1zif 7dcL a’7c

I ticS. A/ (cacI av1/ nave‘nmiiia1ecft aec/evs y Oc/, all ftacheJ ‘id

av D65 Iee/nd all (LY7

1 /uci1eerS.llie 74OLj4 3Yt wiM 1V1 t7e dcIk IScv/d 01 t’aa% (? L,a11?S CVE

ne CLb L& OY1 a12d of,’ z-Meiid

e) Contact telephone

fl Contact address andpostcode

g) Email address

h) Web address I(11W,/c 116, C (Cii i/ // s/’’ytrLi9I;

7

d) Contact name

S/33’ aiid /

Q a& b—‘we /iacxe fL /‘

IPP7 AS 1?:) (cyn’i’JUe

Form PTO2

SECTION 4- ABOUT THE PROJECT AND JUSTIFICATION

Details of the proposed project and what benefits will this project bring for participants,organisation, group or wider community?

77ie C(ob ae C ziiOiSkj fin ScnQ, n vO/u/r?q u1iJ?p/ayevs m eii fs d’ieCt-u9 S5YShi/) 1’ Yl4 / /// k7 U)

‘lie eq,uipreit /711/ (he’S Th(1 ,‘i-O1 ICA!Q )i’L I’)’? (St- Q12(3 /491/i lieS a/i *IP& qôv,’9 ,‘5eçpP w iY-h iii lii C/oh.

/ ati f9av17( u/a-(tjSociiiq /li,J /z’idi iiq app 1’ (a 17 UI7q12 tI/IC/fr /b6 LüyS k’cufl.

1b haJ beer? ar/ f-he ,Ji11oI-of iie ano

‘o cf C1 7J1g c[h(21i’i414t p

2 &Th5 /

-t? /-i&Q (‘1ex[ /eai’/i /Z)t/QYL? tUQ(/ t’UOY/’1lb teani )/(p

II ac/ufiy b/ 1 See iiitxSve.

‘1iUq14 E/2Y ///loCc/

SECTION 3— ORGANISATION FINANCES

a) Have you applied for or received a Township grant before? U Yes

b) If you have answered yes to question a), please give details below

c) Does more than 50% of your annual base budgetlincome comefrom Rochdale Council? LI Yes

If yes, detail below the amounts received and Council Services providing budgetlincome to yourorganisation (a copy of your application will be forwarded to your relevant link Officer for their comments)

,51’O

Jiieu’

hand PGCIi /Eif•7L/jQ a

Form PTO2

SECTION 5— PROJECT FINANCES

a) Cost of project

b) Amount of grant required £ 2Lo .Dc) Amount from other sources £

d) Details of other funding

Funder What they may fund Dates of funding decisions

e) Breakdown of proposed expenditure relating to the amount of grant required(enclose quotations, cost estimates or extracts from catalogues. At least two quotations will berequired for any items to be funded that will cost £1,000 or more to demonstrate value for money).

Expenditure item Cost

22 i r±s (2 .c. 71 . cc

22 3rcEs :15 S L

22 Eccz .25 15.

22 [cje Tp ?27 .25

22 5k infl 3£ .

22

TOTAL 2L-o.

Form PTO2

SECTION 6 — SUPPORTING DOCUMENTATION

Please supply the following documents when you submit your application. IF YOU DO NOT SUPPLYTHESE DOCUMENTS, WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION. Please tick theboxes to confirm which documents you have attached to this application.

a) Annual accounts and bank statement(s)b) Constitution/governing document LIc) If your project works with children and young people under 18 years old or vulnerable adults, please

confirm your organisation has the following in place:Child protection policies and procedures If’Yes [1 N/ADisclosure & Barring Service (DBS) checked staff and

EJYes LI N/A.volunteersd) Quotes/estimateslextracts from catalogues for proposed

expenditure

SECTION 7 - DECLARATION

We, the undersigned agree to:

. Abide by Pennines Township Funds Terms and Conditions.

. No expenditure being incurred on this project prior to the grant decision being given.

. Certify that the information contained in this application is correct and that we are authonsedby the organisation to accept these conditions on their behalf.

. Use funds, if granted, only as specified in this application, unless receiving authorisation fromPennines Township Office to make changes.

. Send the invoiceslreceipts for all payments made with this grant along with the completedProject Evaluation Form to the Pennines Township Office.

a Agree to participate in monitoring, auditing and evaluation related to this fund.. Highlight the support of Pennines Township in all publicity material and agree to Rochdale

Council’s use of the organisation’s name and photographs for promotional purposes.a Inform Pennines Township Office immediately if either signatory leaves the organisation or

can no longer fulfil their responsibilities, or someone else takes over responsibility for thegrant_on_behalf of the_organisation.

Organisation Chair or TreasurerContact Person(Different from Contact Person)

Signature Signature

Full name 7fÜ/? I&ñ71) Full name ‘3-t-ph6nPosition 77ILi J’ft97’M/ (7f Position oj Chw’t nDate j Date 3j fl

Before you send your application to us, please check that you have:• answered all the relevant questions and• endosed all the information requested:

- Annual accounts - Constitution/governing document- Bank statement(s) - Quotations/cost estimates/extracts from catalogues- BACS form

We will return incomplete application forms.

Please send your completed application form to:Pennines Townshp Office, do Number One Riverside. Smith Street, Rochdale 0L16 1XUTel: 01706 922227Email: pennines.townshiprochdale.gov.uk

Form PTO2r.-. .-r flrs-. -.-- -

4’I

I4

‘I

HL

i

GIJiii

I•2

’

0j

TRAININGWEAR mitre

PRIMER0T-SHIRTCLASSIC STYLE,9OLD CONTRASTDESIGNletro inspired t-shirt

eatures Mitre’s innovative ProFlow performanceobric, developed for optimum breathability andnhanced performance

reat for all sports

‘ROFLUWIOISTURF CONIRDI

ODE COLOUR

70023 BEW BLACK / EMERALD / WHITE70023 BJ7 BLACK / WHITE70023 NE7 NAVY / WHITE70023 SBW SCARLET I BLACK / WHITE70023 RNW ROYAL / NAVY / WHITE

‘OUTH CHEST SIZE / SRP *VAT FRY 26/28 MY 28/30” LY 30/32 XS 32/34:12.00* £12.OO* £12.OO* £12.OO*

OULT CHEST SIZE, SRP34’36” NI 38/40” L 42I4’ XL 46/48’ )0(L 50/52’

14.OO £14.00 £14.00 £14.00 £14.00

NEW!

T70023 BEW

T70023 BJ7 T70023 NE7 T70023 SBW T70023 RNW

kp.Oo

TEAMWEAR CATALOGUE 2016/2017 60

mitre TRAININGWEAR

CUFFED TRACK TROUSERS

Adjustable hem zips for a custom fit and easychange

Features Mitre’s innovative ProFlow performancefabric, developed for optimum breathability andenhanced performance

Two zipped outer pockets for storage

Great for all sports

PROFLOWMOISTURE CONTROL

CODE COLOUR

T70024 BA1 BLACK / WHITET70024 NA1 NAVY / WHITE

YOUTH WAIST SIZE! SRP *VAT FREEXSY 20/22’ SY 22124 MY 24/26 LY 26/221 XS 28/30”£17.OD* £17.OO* £17.OO* £17.OO* £17.OO*

ADULT WAIST SIZE / SRPS 30/32 M 32134” L 36/38 XL 40” XXL 42”£20.00 £20.00 £20.00 £20.00 £20.00

TRAINING TROUSERS

Slim modern fit

Features Mitre’s innovative ProFlow performancefabric, developed for optimum breathability andenhanced performance

Rib fabric at back leg gives improved fit

Great for all sports

PROFLUWMOISTURE CONTROL

CODE COLOUR

T70026 RJ7 BLACK / WHITE170026 NA1 NAVY / WHITE

YOUTH WAIST SIZE I SRP *VAT FREESY 22/24” MY 24/26” LY 26/28” XS 28/30”£19,50* £19.50* £19,50* £19.50*

ADULT WAIST SIZE / SRP5 30/32” M 32/34” L 36/38” XL 40” XXL 42”£23.00 £23.00 £23.00 £23.00 £23.00

mitre

T70024 BA1

NEW!

170024 NA1

____I

NEW!,

— mitre mitre

T70027 BJ7 T70027 NA1

MITRE/I PROSTAR

ELiTE RUGBY SHIRT

\ —

Elite Rugby Shirt - oIIr Elptiuns

Rnund Neik Samoan Mini Y-Please check out pages 72 - 75 for shirt design ideas.

Nothing takes your fancy? Not a problem.Send your request or ideas to your account manager

for a no obligDtion shirt design presentation.

I Pieie Side Panel/Underarm gussetWith this added side panel, this ensures a morecomfortable and closer fit.Giver the wearer an advantage from dodging grabsand tackles

/3

Self Fabric Sleeve cuff Hem BandThe finishing on the cuffs and band eliminates theparts of the rugby shirt that is quite often used tograb or hold onto. The cuffs and hem now sit proudly ,

against the wearer.

Muistu

Elite Rugby Shirt - SublimatedOur top quality rugby shirt, has just got better. With improved fit and newjersey structure, this shirt uses the same fabric as elite clubs at professionaland international level. Designed to perform and last at the highest level.

plo3 :ELocD

Fabric:Weight:Fit:Designs:Colours:Logos:

o.

96% Polyester 4% Spandex Pro Fit25OgsmEliteAny design possibleAny colours possibleSublimated Printing

oø,e10-19 20-49 50+

Code: 2600 £35 £32 £30

fll7’ 7’)’)LILIII

RUGBY SHIRT CUSTOMISATIUN (j

Sublimated PrintingClub or School crests and any number of sponsors or other logos canbe printed onto your sublimated shirt at no additional cost.

We require high quality Jpeg or Vectorised EPS file from Adobeillustrator.

Please view some of our rugby shirt designson pages 72 - 75, to give you an idea or to startyou off on your totally custom sublimated shirt.Elur sales design team can assist you at any

stage of the design/ordering process.

si Initialsr initials can be added to the sublimated shirt, in

I fonts.ire a list of names in Excel format, and if you have the actualyou require that would be a great help.

e rss can be printed onto sublimated shirts at no extra cost.ire a list of numbers/size of shirts in Excel format.pie of the style of fonts on offer are below, but if you have a preferred

vill use it.

)io,o1o‘tic Solid Outline Comic Book Traditional

Ovii__stern Roman Numerals Square Patch

Diamond Patch

TRAININGWEAR

PRIMER0WOVEN TRACKTOPLIM MODERN DESIGN,3REATHABLE MESHetro inspired track top

8atures Mitre’s innovative ProFlow performancebric, developed for optimum breathability andThanced performance

vo zipped outer pockets for storage

ROF1OV’OISTURE ONTRO[

)DE COLOUR

‘0019 SBW SCARLET! BLACK / WHITE‘0019 NE7 NAW / WHITE‘0019 BJ7 BLACK / WHITE‘0019 MNW MAROON / NAVY! WHITE‘0019 RBW ROYAL! BLACK! WHITE‘0019 RNW ROYAL! NAVY! WHITE‘0019 TBW TANGERINE! BLACK / WHITE‘0019 EBW EMERALD! BLACK /WHITE‘0019 YBW YELLOW / BLACK / WHITE‘0019 YRW YELLOW/ROYAL! WHITE‘0019 SKN SKY! NAW / WHITE

)UTH CHEST SIZE / SRP ‘VAT FREEY 24/26” SY 26/28” MY 28/30” LY 30/32” XS 32/34”1.25* £21.25* £21.25* £21.25* £21.25*

JbLI uuEST SIZE / SRP34/36” M 38/40” L 42/44” XL 46/48” XXL 50/52”

5.OO £25.00 £25.00 £25.00 £25.00

mitre

NEW!

T70019 SBW

T70019NE7 T70019BJ7 T70019MNW T70019RBW

jc jcT70019 RNW T7001 9 TRW T70019YBWT7001 9 EBW

P\03

T70019YRW T70019 SKN

TEAMWEAR CATALOGUE 2016/2017 56

mitre TRAININGWEAR

57 MITRE/I PROSTAR

NEW!PRIMER0OVERHEADJACKETCLASSIC STYLE,BOLD CONTRASTDESIGNWater resistant training top, featuring Mitre’sinnovative ProShield performance fabric - great forall weathers

Ribbed collar for comfort and great fit

Mesh lining for enhanced breathability

PRUSHIELIIA1-WEATHER PROTECTION

CODE COLOUR

T70020 SBW SCARLET / BLACK / WHITE170020 BJ7 BLACK / WHITET70020 NE7 NAW / WHITE170020 BEW BLACK / EMERALD / WHITET70020 RNW ROYAL / NAVY / WHITE

YOUTH CHEST SIZE I SRP *VAT FREEXSY 24/26” SY 26/28” MY 28/30” LY 30/32” XS 32/34”£17.OO* £17.OO* £17.00* £17.OO* £17.0O*

ADULT CHEST SIZE / SRPS 34/36” M 38/40” L 42/44” XL 46/48” )(XL 50/52”

£20.00 £20.00 £20.00 £20.00 £20.00

T70020 SBW

IT70020 8J7 T70020 NE7 T70020 BEW T70020 RNW

Fabric:Weight:Fit:Designs:Colours:Logos:

00010-19 20-49 50+

Code: 2626 £15 £13 £12

*Side pockets can be added for £2 per pair*

1o-

fc\cFp

Example of design options for Premium Rugby Shorts - ut Sew

Prm9

PREMIUM RUGBY SHORTSPremium Rugby Shorts - ut SewOur classic rugby short.

100% Polyester Twill with optional side pockets24OgsmStandard FitLimited designsSee page 65 for optionsEmbroidery & Printing

I

Prm2 Prem3

Prem7 PrmB

AItrn8tivBIy you cn contact your account mngr for a no obligation design presenttionflI79 7’)9LJLILJ

_____

SUBLIMATED RUGBY SHORTSt.g Rugby Xhurts - Subhmatd:op level rugby short with the design option of being sublimated.Jring gripper elastic waistband, taped seams and poly/elastane

le panels and gusset.

bric: 100% PolyesterTwill With Poly/Elastane Panelseight: 24Ogsm

Standard Fitsigns: Any design possiblelours: Any colours possiblegos: Sublimated printing

10-19 20-49 50+de: 2624 £21 £19 £18

:mpIe uf dBsign optiuns fur EIit Rugby Xhurts - XubIimtd

(&9J

SEIit84 XEIt5 SEIite6

SEIite7 SEliteB XEIite

SElitelO SEIitetl SEIiteI2

SElitei3 XEIitel4 SEIiteI5Alternatively you can contact your account manager for a no obligation design presentation

nnInnFlnnmniinks, nn II,

Protei Rugby XocksA fantastic sock for durability, breathability and comfort.

1000 Denier 75% Nylon / 25% CottonElasticated ankle and arch supportMicro-mesh knitOptional padded cotton sole& Coolmax treated soleAny basic design possibleSee below2588

oØ,e

25-49 50-99 100+

Giant (12- 17) £6 £5.50 £4.50Senior (7-1 1) £6 £5.50 £4.50Junior (3-6) £5.50 £5 £4Mini ( 12-2) £5.50 £5 £4

Code: 2588-COTT Cotton Foot can be added for £0.50 per pair*

Code: 2588-CMAX Coolmax Foot can be added for £0.75 per pair*

MAX GRAND 3

Fine knitenables extra stretcharound the calf

Elasthated ankle -

sup p0 rthelps to support the ankle

Micro-mesh air ventingfor maximum breathability

Padded footoptional cotton foot for comfortor Coolmax for comfort & extra breathabilty

Elasticated Turn-over topeliminates the use or need fortie-ups and can be worn under orover the knee

Black

Sock Colour Options

White

Navy Blue Royal Blue

_______________

Yellow

Amber Orange

Purple Maroon

SUCKS

_____ ____ _____

Fabric:

Designs:Colours:Code:

Standard Cotton COOLMAX

Minimum order is only 25 pairs per size

Elasticated foot supportensures a good fit and reduces slippageand bunching

Baby Pink

Bottle Green

Under foot size identificatto help aid the job of the kitman or woi

flI77 777qqq

SUBLIMATED PREMIUM RULBYSHI1RTSmium Rugby Xhurts - XubIimted

100% Polyester Twill with optional side pockets24OgsmStandard FitAny design possibleAny colours possibleSublimated printing

10-19 20-49 50+

le: 2628 £20 £18 £17

pockets can be added for £2 per pair*

mple uf design options fur Premium Rugby Shorts

SPrem9

(

classic rugby short, with unlimated design options.

ic:ht:

gns:urs:

- SublimBted

SPrm2 XPrem3

SPrem7 SPremB

SPremlS

For clothing bundles see poge 107c’ciIoo[lr’mr’iinh, rn iii’