SAMHA REGISTRATION SUBSIDY UPLOAD DOC 2026-2027
SAMHA 2025/2026
Participant Name: (Please fill out a separate form for each if you have more than one participant)
*
First Name
Last Name
Parent/Guardian Name:
*
First Name
Last Name
Contact Email:
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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/received a confirmation email from the funding organization:
-
Month
-
Day
Year
Date
Amount applied for:
Funding Organization you applied to:
KIDSPORT
JUMPSTART
HOCKEY CANADA ASSIST
OTHER
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 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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