2022-23 Rep Tournament Reimbursement Form (Whitby Minor Hockey)
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2022-23 Rep Tournament Reimbursement Form
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2022-23 Rep Tournament Reimbursement Form
This form is to be used when a coach/manager has paid for a tournament out of pocket in order to secure a spot in advance of the team bank accounts being open.
Reimbursement Information
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 Telephone Number
*
###-###-####
Mailing Address
*
Street Address
City
*
Postal Code
*
Team Information
Division
*
U9
U10
U11
U12
U13
U14
U15
U16
U18
Choose one
Team Level
*
AAA
AA
A
BB
Choose one
If applicable, please indicate Blue or White
Tournament Payment Information
Please include tournament details
Tournament Date
*
November 25th, 2022
Tournament Name
*
Please attach a 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.
We cannot reimburse you without proof of payment
Office Use Only
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again