HL Coach Clinic Reimbursement (Whitby Minor Hockey)

Print HL Coach Clinic Reimbursement
This rebate is for House League coaches only. Cheques will be issued and mailed in January.
Personal Information
Please ensure all contact information is current. This information will be used to mail reimbursement cheques. ALL CHEQUES WILL BE ISSUED IN JANUARY.
  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
    Printed from whitbyhockey.com on Thursday, January 23, 2020 at 4:06 AM