Please ensure all contact information is current. This information will be used to mail reimbursement cheques.
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An email confirming receipt of your submission will be sent to this address.
I am currently a coach, assistant coach or trainer staff of the following team:
Example: HL U7 (Team 1), U13 AA etc.
Please select the certification below which you wish to be reimbursed for. Criminal record checks with vulnerable sector check are not reimbursed.
Example: October 20, 2022
Example: Online or Whitby
Check All That Apply
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Your application will NOT be considered without this information attached.