Reimbursement (Kincardine & District Minor Soccer)

Reimbursement

Name^*

Required

first and last name

Email address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Phone Number^*

Required

Example: ###-###-####

What is the request for?^*

Coach Training
Referee Training
Referee Uniform

Check All That Apply

copy of receipt and/or copy of evidence of completion (certificate or email) if a course.

Files^*

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

Any other information that may be needed for the Club to approve your request.^*

Required

I agree to the terms and conditions stated in the Club's Reimbursement Policy^*