2017-18 Coach\Trainer Clinic Rebate Form (Whitby Girls Hockey Association)

Print 2017-18 Coach\Trainer Clinic Rebate Form
In an effort to assist you with the upgrading of your skills. The WGHA has a Rebate % Program towards the costs of your Coach\Trainer Certification Clinic. Criminal Reference Checks are NOT eligible. Only courses required or beneficial for the purposes of your role as a volunteer with the WGHA are eligible. Participants seeking reimbursement MUST receive prior approval from the 1st VP (for REP teams) or 2ndVP HL (for House League) to confirm the actual certification is eligible for rebate. All submissions must be received by January 14, 2018. YOU MUST USE A SEPARATE FORM FOR EACH CLINIC ATTENDED
Personal Information
Please ensure all contact information is current. This information will be used to mail reimbursement cheques.
  1. ###-###-####
  2. An email confirming receipt of your submission will be sent to this address.
Team Information
I am currently a member and/or support staff of the following team:
  1. Example: HL Tyke (Team 1), Peewee AA etc.
Course Information
  1. Example: October 21 - 22, 2014
  2. Example: Whitby
  3. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 1. Maximum File Size: 4MB.
    Your application will NOT be considered without this information attached.
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Printed from wgha.org on Sunday, December 17, 2017 at 4:42 AM