Move United Premium Member Travel Grant Receipt Submission (FORM 2)

Move United /

Congratulations! You were selected as a Move United Premium Member Travel Grant recipient. We are so excited for you!

The Move United Premium Member Travel Grant is a $250 award to be used to support the purchase of ground or air transportation and hotel fees associated with participation or competition at an adaptive sports event.
Grant funding will be distributed to you by mail upon providing a receipt for purchases – receipts can be submitted via the form below.
Receipts must be provided no later than August 16, 2024.

If you have questions regarding your submission, please contact Dr. Brittany Morrone, Member Services Manager – Individuals at bmorrone@moveunitedsport.org.

Move United Premium Member Travel Grant Receipt Submission Form (FORM 2)

Athlete Name(Required)

First Name Last Name

Do you need to add a parent/guardian/caregiver's name?(Required)

Parent/Guardian/Caregiver Name(Required)

First Name Last Name

Email(Required)

Who should the reimbursement check be made out to?(Required)

Please explain who the check should be made out to.

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

This is where your reimbursement check will be sent.

Receipt Upload(Required)

Drop files here or

Max. file size: 64 MB.

Please attach all receipts for reimbursement. Receipts must be itemized.

Photos/Videos Upload

Drop files here or

Max. file size: 64 MB.

If you'd like to provide photos or videos attending the event or using your equipment, we'd love to feature some of our grant recipients on our social accounts.

Is there any additional information you'd like us to know?