Notice of Travel

Notice of Travel

This form must be completed a minimum 2 weeks prior to departure from the province.
Current URL
DateTime
Staff Response*

ApprovedDenied
Staff Member
Date of Approval*

MonthDayYear
Date
Additional Instructions from Staff
General Information
Current Date*

DayMonthYear
Date
Club Name*
Name of Event*
Location of Event*
Applicant Full Name*

First NameLast Name
Appliant E-mail*
example@example.com
Phone Number*
Club Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Travel Details
Departure Date*

DayMonthYear
Date
Return Date*

DayMonthYear
Date
Number of Staff*
Number of Athletes*
List of all athletes attending and all Staff/Volunteers attending and their role at the event (Coach, Manager, Chaperone, etc.) *

Cancelof
Does the Team Manager/Chaperone have a current VSC or LPIC on file with the Club or Swim Ontario?*

YesNo
It is recommended that Respect in Sport Activity Leader be taken for all Team Managers and Chaperones (and will be required for all Coaches for September 1, 2020). Information can be found HERE.

Screening Requirements (See procedure HERE)

Clubs are responsible for ensuring that all employees, board members, volunteers or other service providers who are in designated positions, are required to provide valid Security Screening documents or in years 2 and 3, an Offence Declaration as outlined in the Screening Requirements Procedure and these are on file at the time they register their club for the current year. Swim Ontario may request at their discretion that Clubs provide copies of a CRC, LPIC or Offence Declaration in their possession.

A CRC/LPIC can be obtained through HERE.
Insurance Certificate Request Form

For travel outside of Ontario where rental permits are in place.
List of Training/Competition facilities being used on this trip:*
Additional Notes
Primary Contact Name when travelling*

First NameLast Name
Cell Phone*
Email*
example@example.com
Has Team Accomodation been arranged?

YesNo
Hotel Name or Rental
Hotel Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you wish to purchase Travel Insurance?

NoYes
Medical Travel Insurance

Optional Carrier - For travel outside of province/country, BFLCANADA Risk and Insurance Inc. reserves the right to alter the requested duration of coverage if the premium received is insufficient. Each person named below is insured up to a maximum sum of $500,000.The travel insurance must be purchased for everyone included in the Notice of Travel. For travel outside Canada, the applicant club or individual certifies that it has Medical Insurance Coverage for the traveling team or person, which may be obtained through BFL Canada Inc. or any other insurance carrier.
- Swim Ontario service charge is 10 cents per person per day plus Ontario Sales Tax (8%)
- BFL Insurance is calculated at $3.52 per person per day plus Ontario Sales Tax (8%)
Participants Covered
# of participants
Number of Travel days
include all travel days
Swim Ontario Service Charge
SO PST
BFL Insurance
PST
SubTotal
Total PST
Total Payable
How do you wish to pay?*

Charge Credit Card on fileprovide Credit Card by phoneSend E-transferSend Cheque via mailClub Invoice
Payment Instructions:

Your credit card will be charged and receipt will be sent to {emailAddress17}.

Note a 2.5% service fee will be added to total payable.
Payment Instructions:

Please email kirsti@swimontario with your phone number. We will call back and ask for credit card number and expiry date. Do not send credit card information via email.

Your credit card will be charged and receipt will be sent to {emailAddress17}.

Note a 2.5% service fee will be added to total payable.
Payment Instructions:

Please send e-transfer to etransfers@swimontario.com with "Travel Insurance - Club Name" in message/memo.
Payment Instructions:

Please mail cheque to following address

875 Morningside Ave, Toronto ON M1C 0C7
Payment Instructions:

Swim Ontario will send an invoice to the {clubName} via {emailAddress17} .

Notice of Travel

General Information

Travel Details

Medical Travel Insurance

Payment Instructions:

Payment Instructions:

Payment Instructions:

Payment Instructions:

Payment Instructions:

Authorization