Withdrawal Request

Withdrawal Request

Eligible refunds will be issued in accordance with our Refund Policy.
Date of Request

MonthDayYear
Date
Player's Full Name

First NameLast Name
Division
Level
Select the Current Stage of Tryouts/Evals
Reason for Withdrawal/Refund
Please
Team Name
Parent Requesting Withdrawal

First NameLast Name
Parent Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email Address
example@example.com
Name of Second Parent (if applicable)

First NameLast Name
Signature of requesting parent, confirming that both parents know and approve of the withdrawal and that the information provided is correct.
Should be Empty: