Equipment Request Form
Use this form to apply for equipment. Must be registered with Hockey Equality.
Name of Applicant
Name of Parent
Street Address Line 2
State / Province
Postal / Zip Code
Do you Identify as any of the following:
If you identify as any of the above please expand where applicable.
What statement best describes your reason for the request.
I do not currently have equipment and need it to start
My current equipment is in poor condition and need replacing as soon as possible
My current equipment is too small and should be replaced as soon as possible
I need equipment in the near future as I grow within the next few months
I am looking for equipment to start hockey next season
If you chose 'other' in the above options please expand here.
Please indicate what equipment you are requesting along with size. (equipment brand and condition is subject to availability)
If you are unsure of size please indicate the height, weight, and level of the player.
Have you already purchased the equipment due to unavailability of our stock and are requesting a reimbursement?
Upload a copy of the receipt here.
Drag and drop files here
Choose a file
Should be Empty: