SMMHA Tournament Funds Request Form (South Muskoka Minor Hockey Association)

Print SMMHA Tournament Funds Request Form

Please complete the following * sections... This form will be submitted to South Muskoka Minor Hockey's; Treasurer in order to request SMMHA to temporarily cover the cost of tournament registration fees; OMHA rep to have your Travel Permit completed; and, Ice Scheduler so the tournament dates can be entered in your teams online schedule.

Please select Team requesting funds^*
Please select level of this Team^*
Official Name of requested tournament^*
Tournament Sanction Number^*
Location of requested tournament ^*
Coordinator contact information for requested tournament^*

Name/ email/ phone number listed as contact

Start date of requested tournament ^*

Open the calendar popup.

End date of requested tournament^*

Open the calendar popup.

Amount being requested^*
Wording required on Cheque^*

Who is cheque payable to
Mailing address for requested funds

Please include P.O. Box, c/o, or Attn. if necessary
Please select one^*
Cheque mailed out
Cheque left for pickup (so other pages may be included in the envelope)
On behalf of the parents of our SMMHA team, I accept these funds with express understanding that the team is to refund the total amount owing to SMMHA by October 30, 2016 or before the first team tournament date (whichever occurs first). I understand that the consequences of not returning the funds as detailed may result in the suspension of the team from any further play.

I agree to the terms and conditions stated above^*
Name of person requesting funds^*
Position on the team^*
Your email address^*

Example: [email protected]
Your phone Number

Example: ###-###-####
Please list any further information that may be required