2022-23 REP Tournament Reimbursement Form (Whitby Girls Hockey Association)
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2022-23 REP Tournament Reimbursement Form
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2022-23 REP Tournament Reimbursement Form
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.
Reimbursement Information
First Name
*
Who cheque should be made payable to
Last Name
*
Who cheque should be made payable to
Position on Team
*
Head Coach, Manager, etc.
Primary Contact Phone Number
*
Mailing Address
*
Head Coach, Manage, etc.
City
*
Postal Code
*
Team Information
Division
U9
U11
U13
U15
U18
U22
Senior
Team Level
AA
A
A1
A2
BB
B
Yellow
Blue
Tournament Payment Information
Tournament Date
*
e.g. May 4, 2022
Tournament Name
*
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.
Office Use Only
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