Equipment Request Form
Use this form to apply for equipment. Must be registered with Hockey Equality.
Name of Applicant
First Name
Last Name
Name of Parent
First Name
Last Name
Your E-mail
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you Identify as any of the following:
BIPOC
Female
Low Income
Disabled
Equity Deserving
Marginalized
Disadvantaged
If you identify as any of the above please expand where applicable.
Please give a statement about why your this financial assistance is impactful and essential.
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
Other
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?
Yes
No
Upload a copy of the receipt here.
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