Health. Football and Community Facilities Funding Club Name* Venue Location* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code City Council Name* Description of Upgrade*Please provide an in-depth description on the proposed upgrades. Total Value of Upgrade* Total Value of Third Party Contribution* Please state the name and value of the third party contribution i.e (LGA, State Government etc). Proposed Outcomes of Upgrade*Please outline the proposed outcomes from the upgrade i.e meeting excess capacity, increasing female participation, engaging culturally diverse communities etc. Club Contact* First Last Contact Email* Club Role* Additional Documents Drop files here or Select files Max. file size: 128 MB. Please upload any additional documents for your facility funding proposal.