Coach/Trainer Reimbursement Form (Peterborough Girls Hockey Association)

Print Coach/Trainer Reimbursement Form
This form is for all Peterborough Girls Hockey Association REP and House League team staff 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, Valid Police check/Declaration, Rowan's Law Acknowledgement, registered in RAMP 
    (the coach certifications required will vary depending on the level of hockey you are coaching)

    Trainers:  HTCP Level 1 Trainer Certification, Respect In Sport Activity Leader, Valid Police check/Declaration, Rowan's Law Acknowledgement, registered in RAMP 

    Managers:  Respect In Sport Activity Leader, Valid Police check/Declaration, Rowan's Law Acknowledgement, registered in RAMP  

    Den Moms: Respect In Sport Activity Leader, Valid Police check/Declaration, Rowan's Law Acknowledgement, registered in RAMP

    OWHA Site: www.owha.on.ca 

Contact Information
  1. Number / Street Name
  2. A1B2C3
  3. Example: ###-###-####
  4. Example: [email protected] Your submission will be sent to this address.
Team Information
Which team are you requesting this for?
  1. Coach, Trainer, Manager, Den Mom
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, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 5. Maximum File Size: 4MB.
Human Validation