Participant Refund Request Form (Barrie Minor Hockey)

Participant Refund Request Form

Please fill out this form to request a refund and BMHA will process refunds on the 1st and 15th of every month.

Player Information

First Name (Player):^*

Required

Last Name (Player):^*

Required

Year of Birth:^*

Required

Player Division and Team^*

Required

ie: House League U11, White Division, Black Team

Requestors Information

First Name:^*

Required

Last Name:^*

Required

Phone Number:^*

Required

Email Address:^*

Required

Reason for Player Withdrawl

Reason for Refund:

Medical
Family Relocating
Other

Check All That Apply

Comments:

* I understand that all refunds are returned to the Credit Card used to process original payment .

**Please note there is a $50.00 admin fee for all refunds. Refunds are processed 1st and 15th of each month.

I agree to the terms and conditions stated above^*

Participant Refund Request Form (Barrie Minor Hockey)

Player Information

Requestors Information

Reason for Player Withdrawl

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