Coach Clinic Reimbursement (Clarington Thunder Hockey League)

Print Coach Clinic Reimbursement
This form is for CRHL team staff for certification reimbursement. **** ONLY SUBMIT ONCE YOU HAVE PASSED THE COURSE ****
Personal Information
Please ensure all contact information is current. This information will be used to mail reimbursement cheques. ALL CHEQUES WILL BE ISSUED AFTER ROSTERS ARE OMHA APPROVED.
  1. Number/Street name
  2. A1B2C3
  3. Example: ###-###-####
  4. Example: yo[email protected]. Your submission will be sent to this address.
Team Information
Which team are you requesting this for?
Clinic Information

  1. Check All That Apply
  2. Enter the total amount being reimbursed
Receipt Attachment
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 5. Maximum File Size: 4MB.
Human Validation