2017/18 House League Clinic % Rebate Form (Whitby Minor Hockey)

Print 2017/18 House League Clinic % Rebate Form
In an effort to assist you with obtaining your minimum certification requirements, WMHA has a Rebate % program that can be used towards the costs associated with your certification. All submissions must include a paid receipt and course completion certificate. Submission deadline is: December 1st, 2017 YOU MUST USE A SEPARATE FORM FOR EACH COURSE ATTENDED It is expected that you will continue to volunteer in the capacity of your certification, until your certification expires. Reimbursement cheques will be mailed in January 2018
Personal Information
Please ensure all contact information is current. This information will be used to mail reimbursement cheques.
  1. ###-###-####
Team Information
I am currently a member and/or support staff of the following team:
  1. Example: Tyke - Foote, Minor Atom
Course Information
  1. Example: October 21 - 22, 2015
  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.
Office Use Only
    Human Validation
    Category Sites
    Social Networking
    Follow Us On
    Follow Whitby Minor Hockey on Twitter
    Quick Links
    Manage Subscriptions
    Signup to receive email or text messages for the teams you want to follow.
    Printed from whitbyhockey.com on Sunday, December 10, 2017 at 9:05 PM