LPO Funding Disclosure and Release Form

On March 28, 2017 the Little People of Ontario (LPO) announced sponsorship of Team Canada Athletes.

“The Little People of Ontario (LPO) is sponsoring each Team Canada athlete for the World Dwarf Games 2017 (WDG 2017) by reimbursing up to $225.00 of the WDG 2017 registration fee.

In addition, athletes will be reimbursed from a $2,000.00 pool, to help cover a portion of the Team Canada uniform cost.

LPO will require proof of purchase and a declaration of all third party arms length funding.”


In order to process this funding, DAAC needs your authorization to release to LPO:

1. Your contact information

2. Your calculated uniform reimbursement amount.

This information will only be used to process your sponsorship request and will not be shared with third parties in accordance with LPO’s Privacy Policy

In order to process your sponsorship request please complete the following form. In submitting this form you authorize and consent the Dwarf Athletic Association of Canada (DAAC) to release to the Little People of Ontario (LPO) the following information:
a) The completed authorization and declaration form and all its content.
b) The amount of sponsorship you are entitled to receive based on the calculation method outlined by LPO.

LPO Funding Disclosure and Release Form

  • *Please provide the information required in this form and your authorization to release it to the Little People of Ontario (LPO). This information will only be used to process your sponsorship request and will not be shared with third parties in accordance with LPO's Privacy Policy which is available at: lpo.on.ca/Privacy.html. LPO may be contacted at: accountants@lpo.on.ca for verification of this request.

  • Dwarf Athletic Association of Canada of is a Not-for-profit organization operated entirely by volunteers.
    Please consider a financial donation directly at: www.daaca.ca/product/donation/ or by sending an INTERAC email money transfer to: contact@dwarfathletics.ca

    Corporations may be able to deduct the donation as a marketing or advertising expense. DAAC can provide an invoice if required. Please consult your Tax Advisor for consultation and verification. (i.e. More information)

  • Personal Information

  • Declaration and Authorization

  • Dwarf Athletic Association of Canada of is a Not-for-profit organization operated entirely by volunteers.
    Please consider a financial donation directly at: www.daaca.ca/product/donation/ or by sending an INTERAC email money transfer to: contact@dwarfathletics.ca

    Corporations may be able to deduct the donation as a marketing or advertising expense. DAAC can provide an invoice if required. Please consult your Tax Advisor for consultation and verification. (i.e. More information)

 

Verification