Grassroots Application Form

Please take a look through all of the questions before getting started. You may find it helpful to draft your answers in a separate document first.

Contact Person

The primary contact person in your organisation. Fairmont will contact them if more information is required.

Organisation Details

About the Organisation

For example: sports, community events, charity work, etc.
For example: new facilities, new equipment, expanding services, etc.
As part of your application, we require the Fairmont logo to be displayed somewhere at your club or organisation. As part of your answer below, please let us know the location and approximate size.

Upload Application Video

Please provide a creative video showing us how the money will be used. Must be at least 15 seconds long. Max file size 100MB.
Drop files here

    Finalise Application

    If you encounter any difficulties (eg. if the video file size is too large) you can send the information to [email protected] with a link to your video.