Coach Reimbursement (Northumberland Minor Hockey)

Print Coach Reimbursement
This form is for all Northumberland Minor Hockey REP, House League and Select bench and on-ice helpers for certification reimbursement. **** Please submit a new form for each course taken **** ONLY SUBMIT ONCE YOU HAVE PASSED THE COURSE **** Reimbursement will be made once you are rostered to a team or added to our volunteer list **** Reimbursement is for course fee only ****
  1. REQUIRED ITEMS:

    Coaches:  Coach certification, Respect In Sport Activity Leader, Gender Identity and Expression Course, Valid Police check/Declaration 
    (the coach certification required will vary depending on the level of hockey you are coaching)

    Trainers:  Trainer Certification, Respect In Sport Activity Leader, Gender Identity and Expression Course, Valid Police check/Declaration 

    Managers:  Respect In Sport Activity Leader, Gender Identity and Expression Course, Valid Police check/Declaration 

    On-ice Volunteer:   Respect In Sport Activity Leader, Valid Police check/Declaration 
    (for practices only....you may not participate on the bench during a game)

    OMHA Site: Coaches
    OMHA Site: Trainers

Contact Information
  1. Number / Street Name
  2. A1B2C3
  3. Example: ###-###-####
Team Information
Which team are you requesting this for?
  1. Coach, Trainer, Manager
Clinic Information
Enter Information for the clinic attended
  1. Police check, Trainer, Coach, Respect In Sport
  2. Enter the amount of the fee for this certification
  3. RadDatePicker
    RadDatePicker
    Open the calendar popup.
Attachment
Receipt & Certification Attachments
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
    Maximum # Files: 5. Maximum File Size: 4MB.
  2. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
    Maximum # Files: 5. Maximum File Size: 4MB.
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Printed from northumberlandminorhockey.com on Monday, November 12, 2018 at 8:10 PM