Withdrawal / Refund Request

Withdrawal / Refund Request

Request a withdrawal or refund for a player. Please complete all required fields and confirm your eligibility as per the refund policy.
Date of Request*

MonthDayYear
Date
After reviewing the Withdrawal/Refund Policy I am requesting the following.

Withdrawal OnlyWithdrawal with Refund
Reason for Withdrawal/Refund

Personal Family SituationRelocationOther
Please include full details for Withdrawal/Refund request.*
Player's Full Name*

First NameLast Name
Division*
Level*
Select the Current Stage of Tryouts/Evals*

Tryout/Evals Haven't StartedTryout/Evals Have BegunTeam Selection is Complete
Team Name*
Parent Requesting Withdrawal*

First NameLast Name
Parent Cell Number*
Please enter a valid phone number.
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.*

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