2021-2022 Coach - Trainer Reimbursement (Peterborough Hockey Association)

Print 2021-2022 Coach - Trainer Reimbursement
  1. If you are requesting a refund for a clinic cancellation please select Refund, if you are a PHA coach or staff who will be on the bench this season please select reimbursement
Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. (including postal code)
  3. Example: ###-###-####
  4. Level/Team number or enter n/a if a refund request
  5. $
  6. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
    Maximum # Files: 3. Maximum File Size: 4MB.
    Must be attached
Human Validation