REFUND REQUEST FORM - Please read the full SGMHA refund policy before completing this form.
SGMHA - 2024-2025
Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Parent/Guardian
First Name
Last Name
Participant's Name
Participant's Birth Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Select Division
4 Year Old
U7
U9
U11
U13
U15
U18
PAC
Participant's team
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Parent 2/Guardian 2 Email
example@example.com
Please indicate reason for refund:
Submit
Should be Empty: