SAMHA REGISTRATION SUBSIDY UPLOAD DOC 2023-2024
SAMHA 2023/2024
Participant Name: (Please fill out a separate form for each if you have more than one participant)
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First Name
Last Name
Parent/Guardian Name:
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First Name
Last Name
Contact Email:
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example@example.com
Contact Phone Number
Please enter a valid phone number.
Program Applied For
SAMHA Community Tiered U5 - U21
RAIDERS Elite Stream
RECREATION LEAGUE
LEARN TO PLAY
OTHER
Division Applied For:
U5
U7
U9
U11
U13
U15
U18
U21
RAIDERS - ALL
LEARN TO PLAY - ALL AGES
Date you applied and received a confirmation email from the funding organization:
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Month
-
Day
Year
Date
Amount applied for:
Funding Organization you applied to:
KIDSPORT
JUMPSTART
HOCKEY CANADA ASSIST
OTHER
The first time you fill this form, please upload proof of application (screen caps are acceptable) to the funding organization (KidSport, Jumpstart etc.). The second time you fill this form, please upload proof that your funding has been approved.
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I have reviewed the funding guidelines under the financial assistance page on the SAMHA website. I understand that an application to a funding organization does not guarantee funding. I understand that if I have failed to apply for funding within 14 days of my registration, my registration will be cancelled. I understand that failure to have fees paid in full by October 15th may result in my participant being removed from their roster and that cancellation fees will apply as per our cancellation policy.
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