Clinic Claim Form

The Honoraria rates are as follows:

Referee Courses

District level Course: $570.00

Small-Sided Course: $250.00

Expenses for travel are to be completed using the Expense form at XXX

What was date of the course (MM/DD/YYYY)?

What is your first name?

What is your last name?

What referee course did you instruct?

What is your street address

What is your postal code?

What town/city do you live in?

What club did the referee clinic take place?

Please Select the honoraria

Did you experience any travel-related expenses?

If you experienced travel-related expenses, did you submit an electronic travel expense claim?

Do you confirm the above information to be correct?

39 Churchill Avenue, St. John's, NL, A1A0H7

709-771-0404

Tuesday 9:00 - 1:00
Wednesday 1:00 - 5:00
Thursday 9:00 - 1:00

* Additional in-person availability by appointment.

Join thousands of association partners using RAMP Registration Solutions.

#1 with Officials...for very good reasons.

Manage your identity from the palm of your hand to the top of your desk.

Keep your coaches, parents, athletes, and fans connected, seamlessly.