Membership Withdrawal & Refund Request Form

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We understand that withdrawals and refund requests are sometimes necessary, and we want to make the process as smooth as possible for our members. Please review the key details below regarding our refund policy, including processing times, payment methods, and applicable fees:

The Club strives to process all refund requests within 20 business days of receiving this form.

Refunds are issued to the original method of payment only.

Payments made by credit card will be refunded to the same card; all other payment types will be refunded via Plooto.

All refunds are subject to a $50 administration fee.

For more information, please see our full refund policy which outlines exceptions and additional details about the refund process.
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Name of Person Submitting Request* This field is required.
First Name
Last Name
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Email Address (associated with your Account)* This field is required.
example@example.com
4
Did you register on PowerUp Sports or PlayMetrics?* This field is required.
Please Select
Please Select
PowerUp Sports
PlayMetrics
5
PowerUp Sports Order Number* This field is required.Your 5 digit order number is available on your Power Up Sports Receipt.
You can locate your 5 digit order number from your receipt in your email or login to https://nmsc.powerupsports.com
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PlayMetrics Receipt Number* This field is required.Your receipt number is available on your PlayMetrics transaction receipt.
You can locate your 7 digit receipt number from your receipt in your email or login to PlayMetrics
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Mailing Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
How many players are you re-deregistering?* This field is required.
Please Select
Please Select
1
2
3
4
5
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Name of Player you are requesting to de-register?* This field is required.
First Name
Last Name
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Name of Player #2 you are requesting to de-register?* This field is required.
First Name
Last Name
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Name of Player #3 you are requesting to de-register?* This field is required.
First Name
Last Name
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Name of Player #4 you are requesting to de-register?* This field is required.
First Name
Last Name
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Name of Player #5 you are requesting to de-register?* This field is required.
First Name
Last Name
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Please select the program you are withdrawing from?
LFC IA Mississauga: OPDL, Competitive, Grassroots, Junior Reds
NMSC: Summer Camps
NMSC: Recreational Youth League
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Are you in receipt of your Recreational uniform? * This field is required.
Yes
No
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In accordance with the Club's published refund policy, refunds are available only in certain circumstances. Please select the option that best describes your situation:
Participant cancellation: Withdrawal requests received 14 days or more before the program start date will be eligible for a refund, minus a $50 administrative fee. No refunds will be issued for withdrawal requests submitted within 14 days of the program start date or after the program start date, unless the request is eligible under the Medical Exception or Relocation clauses below.
Injury or illness: A credit (not refund) may be issued if a participant suffers a documented injury or illness resulting in 8 or more consecutive weeks of missed programming. A doctor’s note and a completed Refund Request Form must be submitted. Credits will be calculated on a pro-rated basis starting from the date of injury and will be valid for one future season. Injuries resulting in fewer than 8 weeks of missed activity are not eligible for any credit or refund.
Refunds due to relocation: If a participant’s family is relocated outside the Greater Toronto Area, a refund may be considered at the Club’s discretion. Proof of relocation (e.g., utility bill, letter from employer) must be submitted with the request. If approved, the refund will be pro-rated and subject to the $50 administrative fee.
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Please indicate the final date of participation: Request will be denied if fail to enter* This field is required.
Date
Month
Day
Year
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Please upload a copy of your Doctor's note* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
PDF only
Cancelof
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Please upload your proof of relocation* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
PDF only
Cancelof
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Feel free to share any extra details that may help us better understand your request.
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Please explain why this refund request could not be approved. Remember: Your comment will be visible to the member, so keep it clear and courteous.
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Please explain why you are recommending this refund request for approval. Remember: Your comments will NOT be visible to the member. They will be visible to your manager.
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