ABTA Reimbursement Form

Program # (s) must be listed and Receipts must accompany completed form when submitting reimbursement claim.

When submitting costs for reimbursement, please use the ABTA Funding Document to reference what expenses can be used for each program.

Please use this form to submit reimbursement for the following programs:

CLUB RESOURCES (L5317)	max of $200 per club

ABTA OUTREACH DAY CLINICS (L5338)	max of $300 per club

ABTA 6 WEEK LEARN TO TWIRL PROGRAMS (L5339)	max of $300 per club

REGIONAL & CLUB DEVELOPMENT (L5306)	program budget is $500

COACHES FIRST AID CERTIFICATION (L5333)	50% of the course will be reimbursed

COACHES VULNERABLE SECTOR CHECK (L5333)	100% of the cost will be reimbursed

BATON TWIRLING FOUNDATIONS PRACTICAL COURSE (L5308)	$50/person will be reimbursed

NCCP PART A COURSE (L5332)	$50/person will be reimbursed

NCCP PART B COURSE (L5332)	$50/person will be reimbursed

CBTF SKILLS DEVELOPMENT PROGRAM APP (L5326)	max of $30/person will be reimbursed

CBTF SKILLS DEVELOPMENT ADJUDICATOR COURSE (L5318)	100% of the cost of the course will be reimbursed

TECHNICAL PROFESSIONAL DEVELOPMENT (L5333)	program budget is $1,000

Date:*

Date

Name*

First Name Last Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Please fill in your expenses for reimbursement:

Total Expenses

Please upload your receipts here

Comments

Signature*

Clear

ABTA REIMBURSEMENT FORM