NCSC Refund Form

NATURE COAST SOCCER CLUB
Refund Request Form
Date of Request:

Fall Season – Amount Paid
Date of Request:

Month Day Year
Date
Volunteer Fee
Player’s Name: Parent’s Name: Address: Address: Phone#: Email:
Player's Name:
Parent's Name:
Address:
Phone#:
Email:
example@example.com
Reason for refund: (subject to club approval)
“I don’t like the coach” and “schedule conflicts” are not valid reasons for refund.

moving out of area Pre-Season Injury Change of Mind (must be submitted at least 30 days prior to first game) Overpayment (describe) other (describe)
Volunteer fee
All refunds requests are subject to a $20 per player processing fee. In order to receive a refund, the players’ uniform (if issued) must be returned in like new condition to avoid a uniform charge. I realize that not all fees are refundable. I may not receive a refund of the full amount paid if my child or the parent (if registered to coach) has already been registered with the state association or if the uniform could not be used otherwise. If withdrawal of your player forces the club to fold one or more teams, your fees will not be refunded. No refunds will be made following the first game of the season. Donations, sponsorships, new field fees, and merchandise are non-refundable.
Parent Signature (required)

Clear
Mail Request To: Nature Coast Soccer Club P.O. Box 455 Holder, Fl 34445
Processed by Registrar Date:

Month Day Year
Date
Registrar Signature:

Clear
Processed by Treasurer – Date:
_ Check
Check #
Amt
Treasure Signature:

Clear
Should be Empty:

NATURE COAST SOCCER CLUB

Refund Request Form

Processed by Treasurer – Date:

_ Check