Hockey Canada Course Expense Reimbursement Form (Wilmot Girls Hockey)

Print Hockey Canada Course Expense Reimbursement Form

WGHA reimburses 100% of the cost of Hockey Canada accreditation clinics. To be reimbursed, coaches must provide the association Treasurer with proof they have successfully completed the course. The Clinic reimbursement form can be found in the Coaches & Staff section on the website and must be filled out along with a blank cheque to the Treasurer for automatic deposit.

Contact Information

First and Last Name^*
Address^*

Number and Street Name
Town / City^*
Postal Code^*

e.g. N3A1Z1
Phone Number^*

Example: ###-###-####

Email Address for Reimbursement

CAREFULLY enter the email address where you would like us to send payment. Please understand that if you enter the wrong email address on this form, your payment may be permanently lost.

Email Address for payment by e-transfer*^*

Example: [email protected]

Team Information

Which team are you requesting this for?

Name your team^*
Position on Team^*

Coach, Assistant Coach, Trainer

Clinic Information

Enter Information for the clinic attended

Type^*

Police check, Trainer, Coach
Level

Trainer / Coach Only
Fee^*

Enter the amount of the fee for this clinic
Clinic Location^*

Clinic Date^*

Open the calendar popup.

Attachment

Receipt & Certification Attachments

Please attach scanned copy of receipt^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 5. Maximum File Size: 4MB.
Please attach scanned copy of certitication^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 5. Maximum File Size: 4MB.