2022-23 REP Tournament Reimbursement Form (Whitby Girls Hockey Association)

This form is to be used when a coach/manager has paid for a tournament out of pocket in order to secure a spot in advance of the team accounts being open. The cost will be recovered by the WGHA in the first Rep billing.

Reimbursement Information

First Name ^*

Required

Who cheque should be made payable to

Last Name ^*

Required

Who cheque should be made payable to

Position on Team^*

Required

Head Coach, Manager, etc.

Primary Contact Phone Number ^*

Required

Mailing Address^*

Required

Head Coach, Manage, etc.

City ^*

Required

Postal Code ^*

Required

Tournament Payment Information

Tournament Date^*

Required

e.g. May 4, 2022

Tournament Name ^*

Required

Please attach copy of payment or receipt

Allowed extensions: .jpeg, .jpg, .png, .gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

2022-23 REP Tournament Reimbursement Form (Whitby Girls Hockey Association)

Reimbursement Information

Team Information

Tournament Payment Information

Office Use Only

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