SEA HPT Private Lessons

SEA HPT Private Lessons

Use this form to attach invoices for private lessons for SEA HPT participants. HPT members are allocated $1,000 for private lessons between September and March (7 months). Programs will be reimbursed $142.85 per month.
Student Name*

First NameLast Name
Member Program Site*
Staff Member*

First NameLast Name
Email*
example@example.com
Private Lesson Details*
Who will the student be taking private lessons from? How often?
Upload your receipt(s) for reimbursement here*

To upload multiple receipts in one form: Either drag and drop multiple files to the "Browse Files" box above; or click the "Browse Files" box above, then press & hold the Command or CTRL key on your keyboard, then click each item for upload
Cancelof
How would you like the requested funds to be reimbursed?*

CheckACH Transfer
List the name & address of the person who should receive a reimbursement check
Complete the ACH Form (opens in a new tab) to recieve this reimbursement electronically.

NOTE: This form and the ACH form must be submitted for SEA to process this reimbursement.
Should be Empty: