Registration Refund (Blyth Brussels Minor Hockey)

Registration Refund

Registration Refunds:
For BBMHA Player refunds there will be 10% deducted from the registration cost per week until Dec 1st (No Refund to be issued after Dec 1st .)

Please note: Fundraising Tickets are not refundable.

Player Information

Last Name (Player)^*

First Name (Player)^*

Year of Birth^*

Requestors Information

Last Name^*

First Name^*

Phone Number^*

Example: ###-###-####

Email Address^*

Example: [email protected]. Your submission will be sent to this address.

Mailing Address^*

Payment Information

Payment Method^*

E TransferCheque

Reason for Player Withdrawal

Reason for Refund:^*

Registration Refund - Moving Associations (AAA Waiver)
Registration Refund - Family Relocating
Registration Refund - Medical
Registration Refund - Not Playing Hockey
Other

Comments

Registration Refund (Blyth Brussels Minor Hockey)

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Player Information

Requestors Information

Payment Information

Reason for Player Withdrawal

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