Coach Reimbursement (Northumberland Minor Hockey)

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 **** ***This form can also be used to submit for an NMHA Coach/Trainer ON ICE Blue/Black Suit - receipt from Sommervilles is requied and can be uploaded on this form.***
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

Team Information

Which team are you requesting this for?

Clinic or Warm-up Suit Purchase Information

Enter Information for the clinic attended and/or Date of Warm-up Suit purchase from Sommerviles (receipt must be submitted)

Attachment

Receipt & Certification Attachments, this can include your receipt for the NMHA Warm-up Suit for Coaches/Trainers ***Anyone using this form for the Warm-Up Suit Reimbursement - attach the receipt from Sommervilles to both the receipt and certificate section and then the form will work***