Volunteer Reimbursement Request (Barracudas - Burlington Girls Hockey Club)

Volunteer Reimbursement Request

IMPORTANT: YOU WILL ONLY BE REIMBURSED ONCE BOTH YOUR PAYMENT RECEIPT AND THE RELATED CERTIFICATE(S) ARE SUBMITTED. PLEASE DO NOT REQUEST REIMBURSEMENT WITHOUT SUBMITTING BOTH RECEIPTS AND CERTIFICATES AS ATTACHMENTS TO THIS FORM. ONLY OFFICIALLY ROSTERED STAFF WILL BE REIMBURSED - PLEASE ENSURE THAT YOUR HEAD COACH HAS COMMUNICATED YOUR NAME TO THE BGHC REGISTRAR FOR ROSTERING PURPOSES. ONLY CERTIFICATIONS NEEDED FOR YOUR PARTICULAR STAFF POSITION WILL BE REIMBURSED. Please complete this form, attach receipt and related certification and SUBMIT. This form goes to BGHC Office Manager, Gail Marcos at [email protected] All Reimbursements will be processed by Email Money Transfer. Kindly confirm you have listed your correct email address. The BGHC will not be responsible for incorrect Email Address Submissions.

First Name^*

Required

Last Name^*

Required

Mailing address^*

Required

Email Address^*

Required

This must be an email address to which you can accept an eTransfer

Is your email address set up for Auto Deposit?^*

YesNo

Required

Name of Team Head Coach (for HL Staff Apparel reimbursement requests ONLY)

Attachments (BOTH receipts and certificates needed)

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 10. Maximum File Size: 4MB.

Attach receipt and certification for each item requiring reimbursement

Volunteer Reimbursement Request (Barracudas - Burlington Girls Hockey Club)

House League

Development Stream

Representative