The Recreation & Parks Association of the Yukon

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This form is used to report on RHEAL Programs and is a requirement of the RHEAL Program contract.

Include information about the program, such as a brief description, number of participants, number of sessions, etc. Write accurately and clearly as reports are shared with board members, funders, etc.

Reports and invoices must be submitted by March 31st or the end of the program, whichever comes first.

This report is for which type of agreement? *

A RHEAL Funding Agreement with an organization or community An individual contract with a RHEAL Leader x Clear

Person completing this form

A copy of your report will be sent to your email.

First name *

Last name *

Organization *

Email *

Mobile

Name(s) of RHEAL Leaders who delivered the program *

Leader's Information

First name *

Last name *

Email *

Mobile

What is name of the RHEAL Program? *

Where was this program delivered? *

When did this program start and end? *

Describe your program or activity in 2 clear sentences. *

When did this program take place?

Day time (M-F) After school (3-6 PM) Evenings Weekends Holidays

Other

Did you partner with another organization to deliver the program, activity or event? *

"Partnering" means that you could not have accomplished what you did without support from the other organization.

Yes No x Clear

If yes, who?

Upload your Program Participation Record with the summary page filled out. If you cannot upload it, please email it to RPAY.

Please share a few photos of your program. Ensure you have permission from those in the photo(s).

Describe any big outcomes, benefits or successes.

Describe any big challenges.

Please share any suggestions, recommendations or other comments.

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Please accept all conditions.

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Suite 201-C, 170 Titanium Way, Whitehorse, Yukon CA Y1A 0G1

Web: rpay.ca Email: info@rpay.ca Phone: 867-668-3010