Reimbursement (Chatsworth Soccer Club)

Reimbursement

Name^*

Required

first and last name

Email Address^*

Required

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

Phone Number^*

Required

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

What is the request for?^*

Coach Training
Referee Training
Referee Uniform
Other

Check All That Apply

Upload a copy of receipt. If course completion, upload a copy of evidence of course completion (certificate or email).

Files^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 10. Maximum File Size: 4MB.

Any other information that may be needed for the Club to approve your request

REIMBURSEMENT POLICY

I agree to the terms and conditions stated in the Club's Reimbursement Policy^*

Reimbursement (Chatsworth Soccer Club)