Request for Financial Assistance (Burlington Girls Hockey Club)
Print
Request for Financial Assistance
Please ensure that you have completed the entire form before you submit it. You need only complete the Area(s) of the form that apply to the type of assistance that you are requesting. You submit the form by clicking on the SUBMIT button. By submitting this form you certify that the information provided to the BGHC is accurate. You know that the form has been submitted if you get a new page in your browser that shows the following: Your Response Has Been Submitted Thank you for completing the form, it has been saved in our database and sent to the appropriate people.
Player Information
Player Name (first and last)
*
BGHC Program
*
Select One...
House League
Initiation Program
Rep Program
Parent/Guardian Information
Parent/Guardian completing this form
*
Phone number for best contact
*
Example: ###-###-####
Email address
*
Example:
[email protected]
Type of Assistance Requested
The BGHC offers 2 forms of assistance, depending on the program: direct reduction of fees up to $200 and extended payment terms. Direct reduction of fees is available only to House League program participants. Extended payment terms are available to all program participants.
What type of assistance are you requesting?
*
Select One...
Direct reduction of fees
Extended payment terms
Both
Please provide a brief reason for your request.
*
Extension of Payment Requests
Complete this section if you are requesting an extended time to pay, beyond the published payment deadline.
Please provided the timing and frequency of payments you wish us to consider.
Cash Assistance Request
Complete this section if you are requesting a cash assistance/reduction of fees.
What amount of direct reduction to fees are you requesting (maximum is $200).
Which of the following forms of assistance have you applied for to date?
JumpStart
KidSport
Other
Check All That Apply
How much assistance have you been approved to receive from these other sources?
Other Information
Please provide any other information that you wish to communicate with respect to this request.
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
Category Sites
Representative
Development Stream (DS)
Skills School
Goalie Development
League Sites
BGHC House League
IP (U7)
Under-9 (U9)
Under-11 (U11)
Under-13 (U13)
Under-15 (U15)
Under-18 (U18)
Guest Teams
Guest Teams
View All
Our Sponsors
Social Networking
Follow Us On
- and -
- and -
Quick Links
Manage Subscriptions
Signup to receive
email
or
text messages
for the teams you want to follow.
Login
Sitemap
Help
Contact
Search
Rss
Fri Feb 03, 2023
Recent Results
BURLINGTON GIRLS HOCKEY CLUB
Home
About Us
About the BGHC
Becky Kellar
Renata Fast
Jana Harrigan
Mike Tarantino
Bryce O’Hagan
EJ Price
Aaron Nagy
Kevin Greco
Marty Savoy
History
2022/2023 REP Coaches
Executive & Staff
Policies
By-Laws
Processes and Guidelines
Awards
General Information
Contact Us
Calendar
Health & Safety
Covid-19 Protocol FAQs
COVID-19 Resources
Safety / Concussion Resources
Jr Barracudas
Past Seasons
Rep Program
General Information
Tryouts
Request for Permission to Skate
Release Requests
2023-2024 Coaches
2022-2023 Coaches
Fair Play
Key Contacts
Rep Team Resources
House League
General Information
Registration
DS
General Information
Rules
Fair Play
Key Contacts
House League Resources
OWHA Tournament Listing
Medical Form Resources
Initiation Program (IP)
General Information
Registration
Resources
Links
OWHA (Ontario Womens Hockey League)
LLFHL (Lower Lakes Female Hockey League)
PWHL (Provincial Womens Hockey League)
Hockey Canada
Respect-In-Sport Activity Leader Online Course
HTCP (Trainer) Online Course
Rec Express - City of Burlington Available Ice
RAMP
Unused Ice Slots
Application for Financial Assistance
City of Burlington Facility Closure Information
Coaches Corner
Financial Assistance
OWHA Pick Up Forms
OWHA Select Policies
Registration Receipts
Reimbursement Request
Volunteer Certifications
CUDAS MERCH
My Calendar
Share
Feedback
You Are Here:
Home
» Request for Financial Assistance
Printed from bghc.ca on Friday, February 3, 2023 at 3:12 PM
Social Bookmarks
(What's This?)