Griffin Youth Soccer Association
1301 Cowan Road
Griffin, GA 30223
griffinsoccer01@gmail.com
https://www.griffinsoccer.org
Refund Request Form
Parent Name
*
First Name
Last Name
Players Name
*
First Name
Last Name
Email
*
example@example.com
When did you originally pay?
*
-
Month
-
Day
Year
Date
Request Date
-
Month
-
Day
Year
Date
Reason for Refund
*
The player was seriously injured
Moved to a different county
Other
How would you like to receive your refund?
*
I would like to pick up my check at 410 E Taylor St Suite G, Griffin, GA 30223
I would like to have a check mailed (Place mailing address below)
Requested Amount
*
Additional Notes
Please upload copy of payment receipt
*
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