2025/26 Bench Staff Reimbursement (Millbrook Minor Hockey)

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^*

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Last Name^*

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Email Address^*

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

Phone Number^*

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

Team^*

Required

Indicate the team you have been rostered to.

I am requesting reimbursement for the following courses:^*

Respect in Sport - Activity Leader
HU - Online Coach 1/2
Coach 1
Coach 2
Development 1
HU - Online Checking
HTCP (Trainer)
SmartServe

Check All That Apply

Total Amount ($) Requested for Reimbursement^*

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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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