Otto Breitenbach Grant Application

Be as succinct and clear in your responses as possible. Applications will be evaluated based upon the depth, quality and clarity of the information provided.

More information on this grant can be found here.

Name(Required)
Primary representative of the club/organization/school
Primary representative of the club/organization/school
Club/school/youth team
MM slash DD slash YYYY
Tax Status(Required)
Address(Required)
Up to $750
Your organization acknowledges the importance to the Madison Sports Hall of Fame Club (MSHF) of verifying that the funds disbursed to your group are used in the manner described in this application. Your organization agrees to (a) maintain appropriate records of its use of all funds disbursed by the MSHF and (b) promptly upon the request of the MSHF to provide it with copies of such records and any other records the MSHF may reasonably request. Your organization agrees that the MSHF may recover from your group any funds disbursed pursuant to this application that were misused. Your representative represents and warrants that the responses in this questionnaire are true and accurate.