Certification Refund Request 2024-2025 (BLOMHA)

Certification Refund Request 2024-2025

Please note that we reimburse certification fees a few times a season via cheque. If this timeline presents a problem for you, please email [email protected]

Reimbursement Details

Choose the certification(s) for reimbursement^*

Coaching - Any Level
Respect in Sports for Activity Leaders
Trainer's Course

Check All That Apply

Cost Applying For^*

First HalfSecond Half

Required

Team(s) Volunteering With^*

Required

Examples: U9 Stars or U9 Select or U9 MD

YOUR First and Last Name^*

Required

NAME OF PERSON CHEQUE TO BE PAID TO

Street Address^*

Required

ADDRESS WHERE CHEQUE TO BE MAILED

City^*

Required

Postal Code^*

Required

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Telephone Number^*

Required

Example: ###-###-####

Receipts

All applicable receipts must be attached.

Paid Receipts ONLY^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 4. Maximum File Size: 4MB.

I understand this is not an immediate reimbursement. BLOMHA disperses certification reimbursements twice a year, December and March.

BLOMHA will send you an email when it is ready. I understand that I should wait for an email from BLOMHA for when my cheque is ready.

BLOMHA will not issue a reimbursement if you if you have not fully completed the course. Please ensure you click through all modules, and the course registers as "competed" on your HCR profile (under "qualifications" tab).

I agree to the terms and conditions stated above^*

Certification Refund Request 2024-2025 (BLOMHA)

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Reimbursement Details

Receipts

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