Refund Request Form
2024 -2025 - St. Albert Minor Hockey Association
Name of Participant
*
First Name
Last Name
Name of Guardian
*
First Name
Last Name
Stream of Play:
Raiders
SAMHA
Rec
Division:
Please Select
U5
U7
U9
U11
U13
U15
U18
Birthdate of Participant
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please indicate the reason for your refund request:
Player secured a place on another AAA or AA team with a Hockey Canada-sanctioned program.
Player intending to play in the CSSHL.
Player intending to play in a non-sanctioned hockey league.
Player does not want to play hockey anymore.
Medical reason or injury.
Other
If your player has secured a place on another team, please list it here:
Other reasons or comments:
Submit
Should be Empty: