2018/19 House League Clinic % Rebate Form (Whitby Minor Hockey)

Print 2018/19 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, 2018 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 2019
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.
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    Printed from whitbyhockey.com on Sunday, November 18, 2018 at 1:25 PM