SAMHA Coaching Reimbursement Form 2025-2026

Reimbursement Form
Reimbursement cheques for approved coach clinics will be issued on the following dates:

November 15
January 15
March 15

Please note: Only fully completed courses are eligible for reimbursement.
Coaches must be registered on a 2025–2026 St. Albert Minor Hockey roster.
Reimbursements for courses completed in previous seasons are no longer available.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please indicate the division you have applied to coach in the 2024-2025 season:

U7U9U11U13U15U18
Date of Clinic:

MonthDayYear
Date
Clinic Description:
Course:

Coach 1Coach 2Respect in Sport Activity LeaderSafety OnlineCoach 1/2 onlineChecking onlineChecking 1Development 1
Please upload a picture of your receipt showing the PAID status.*

Cancelof
please upload a picture of your COMPLETED COURSE EMAIL OR CERTIFICATE (certificate preferred)*

Cancelof
Should be Empty: