2024/2025 Coach Reimbursement (Millbrook Minor Hockey)

2024/2025 Coach Reimbursement

This form is to be used to request reimbursement for the Coaching and Trainer related courses shown below.

Costs will be reimbursed to those who have been rostered to a team (or volunteer roster) during the current season
Only costs incurred during the current season will be reimbursed
Reimbursement of costs will occur near the end of the current season
Costs will be reimbursed via e-transfer
Your HCR record will be used to verify course completion. If your HCR record indicates that you have not completed the course, you will not be reimbursed.

First Name^*

Required

Last Name^*

Required

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Phone Number^*

Required

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

Team^*

Required

Indicate the team you have been rostered to.

Total Amount ($) Requested for Reimbursement^*

Required

Attach Receipts^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 10. Maximum File Size: 4MB.

I agree to receive reimbursement via an e-transfer to the email address provided on this form.^*

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