2025-26 REP Tournament Reimbursement Form (Whitby Girls Hockey Association)

Please fill out this form to apply for reimbursement of Representative tournaments.

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 ^*

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.