Tournament Advance Request (St. Thomas Panthers)

Tournament Advance Request

Please complete the request form to receive advance payment for Tournaments from the St. Thomas Panthers. Teams will be required to payback funds received by December 1st. All payments will be sent via cheque. STPGHA is not able to sent payments via EMT.

Team:^*

Required

Coaches Email:^*

Required

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

Coaches Name:^*

Required

Managers Name:

Managers Email:

Tournament Name:^*

Required

Start Date:^*

Required

End Date:^*

Required

Tournament Fees Payable to:^*

Required

Please include full name or exactly as the tournament payment instructions state

Tournament Fee:^*

Required

Mailing Address ^*

Required

STPGHA will send cheques directly to the host tournament. We cannot send payments via EMT

Payment Due Date^*

Required

Notes

please provide any additional information required.

As coach/manager of the above team I agree to that St. Thomas Panthers Girls Hockey will be fully reimbursed for any funds requested by December 1st.

I agree to the terms and conditions stated above^*

Tournament Advance Request (St. Thomas Panthers)

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