SAMHA REGISTRATION SUBSIDY UPLOAD DOC 2025-2026

You will be required to fill out this form two (2) times. First when you have applied for funding with a screen cap of your application to the third party funding institution. Second when you receive an email that you are successful in your application with a screen cap of the amount you will be receiving. These uploads help us defer your upcoming payments and track your funding.
SAMHA REGISTRATION SUBSIDY UPLOAD DOC 2025-2026

SAMHA 2025/2026
Participant Name: (Please fill out a separate form for each if you have more than one participant)*

First NameLast Name
Parent/Guardian Name:*

First NameLast Name
Contact Email:*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Program Applied For

SAMHA Community Tiered U5 - U21RAIDERS Elite StreamRECREATION LEAGUELEARN TO PLAYOTHER
Division Applied For:

U5U7U9U11U13U15U18U21RAIDERS - ALLLEARN TO PLAY - ALL AGES
Date you applied/received a confirmation email from the funding organization:

MonthDayYear
Date
Amount applied for:
Funding Organization you applied to:

KIDSPORTJUMPSTARTHOCKEY CANADA ASSISTOTHER
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. *

Cancelof
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. *

Clear
Should be Empty: