COVID19-Registration Refunds (Blyth Brussels Minor Hockey)

COVID19-Registration Refunds

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To receive full refund, fundraising tickets need to be returned to Leisa Albers - Treasurer

Leisa Albers - BBMHA Treasurer
42894 Browntown Road
Bluevale, Ontario N0G 1G0

Player Information

Last Name (Player)^*

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First Name (Player)^*

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Year of Birth^*

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Select age group that your registered with.^*

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Requestors Information

Last Name^*

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First Name^*

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Phone Number^*

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

Email Address^*

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

Mailing Address^*

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Fundraising Tickets

To receive full refund, fundraising tickets need to be returned to Leisa Albers - Treasurer Leisa Albers - BBMHA Treasurer 42894 Browntown Road Bluevale, Ontario N0G 1G0

I will return/mail the fundraising tickets^*

YesNo

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COVID19-Registration Refunds (Blyth Brussels Minor Hockey)

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Player Information

Requestors Information

Fundraising Tickets

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