Expense Reimbursement (North Durham Minor Hockey)
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Expense Reimbursement
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Expense Reimbursement
Thank you for your request. It will be reviewed for approval at the next scheduled NDMHA Board Meeting.
Your Name
*
Enter your first and last name
What team are you with?
Select One...
FS - The First Shift
Warriors - U8 MD
Warriors - U9 MD
Warriors - U10 AA
Warriors - U10 A
Warriors - U11 AA
Warriors - U11 A
Warriors - U11 Select
Warriors - U12 AA
Warriors - U12 A
Warriors - U13 AA
Warriors - U13 A
Warriors - U13 Select
Contact Clinic (2010)
U14(2010)-U16(2008) Pre-Tryout Development
Warriors - U14 AA
U10(2014)-U13(2011) Pre-Tryout Development
Warriors - U9 - U9 Team 1
Rep Goalie Development
Warriors - U14 A
Warriors - U15 AA
Warriors - U15 A
Warriors - U15 Select
Warriors - U16 AA
Warriors - U16 A
Warriors - U16 BB
Warriors - U18 AA
Warriors - U18 A
Warriors - U18 Select
Blades - U9 B
Blades - U11 BB
Blades - U11 B
Blades - U13 BB/B
Blades - U15 BB/B
Blades - U18 B
Warriors - HL Goalie Clinic
Warriors - Unassigned Game Slot
Warriors - U7 - U5 Team 1
Warriors - U7 - U5 Team 2
Warriors - U7 - U6 Team 1
Warriors - U7 - U6 Team 2
Warriors - U7 - U6 Team 3
Warriors - U7 - U6 Team 4
Warriors - U7 - U7 Team 1
Warriors - U7 - U7 Team 2
Warriors - U7 - U7 Team 3
Warriors - U7 - U7 Team 4
Warriors - U8 - U8-Team 4
Warriors - U8 - U8-Team 1
Warriors - U8 - U8-Team 2
Warriors - U8 - U8-Team 3
Warriors - U9 - U9 Team 2
Warriors - U9 - U9 Team 3
Warriors - U9 - U9 Team 4
Warriors - U11 - AtoMc Team 1 Black
Warriors - U11 - AtoMc Team 2 Green
Warriors - U11 - AtoMc Team 3 Blue
Warriors - U11 - AtoMc Team 4 White
Warriors - U11 - AtoMc Team 5 Orange
Warriors - U11 - AtoMc Team 6 Silver
Warriors - U13 - U13 Team 1
Warriors - U13 - U13 Team 2
Warriors - U13 - U13 Team 3
Warriors - U13 - U13 Team 4
Warriors - U15 - U15 Team 1
Warriors - U15 - U15 Team 2
Warriors - U15 - U15 Team 3
Warriors - U15 - U15 Team 4
Warriors - U15 - U15 Team 5
Warriors - U21 - U18/U21 Team 1
Warriors - U21 - U18/U21 Team 2
Warriors - U21 - U18/U21 Team 3
Warriors - U21 - U18/U21 Team 4
Warriors - U13 - U13 Team 5
Warriors - U13 - U13 Team 6
Warriors - U21 - U18/U21 Team 5
Other (Board Member)
What role will you be rostered for?
*
Select One...
Head Coach
Assistant Coach
Trainer
Assistant Trainer
Manager
Other
If you selected Other, please describe
Please describe your expense
*
Respect In Sports, Coach Certification etc
What is the total amount your are requesting for reimbursement?
Please attach copy of expense
*
Allowed extensions: .jpeg, .jpg, .png, .gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 3. Maximum File Size: 4MB.
Pick up at Uxbridge arena or send by Mail?
*
Pick up in Managers Room at Ux Arena
Send Cheque by Mail
Mailing Address to send Refund to
*
Please provide full mailing address including Postal Code
E-mail Address you would like confirmation and approval sent to
*
Example: yo
[email protected]
. Your submission will be sent to this address.
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again