Course/Clinic Reimbursement Form (Orono Amateur Athletic Association)

Print Course/Clinic Reimbursement Form

This form is to be filled out when a bench staff member is making a reimbursement request for a course taken. Please note that reimbursements are only issued once all teams have been rostered with the OMHA.

About You

What team are you affiliated with?^*
Your Full Name^*
Your Position^*
Head CoachAssistant CoachManagerTrainer

Course/Clinic Details

Course/Clinic Attended^*

Date of Course/Clinic^*

Open the calendar popup.

If it's a multi-day course - just enter the first day

Please attach your receipt^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.