Request for Refund (Online) (Seaforth Stars Minor Hockey)

Print Request for Refund (Online)
Please complete the following form and submit to request a refund for registration fees. Please review the Request for Refund page on the website to understand the Refund Policy before submitting this form.
Refund Request
Please complete ALL fields in this section to avoid delay
  1. First and Last Name
  2. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    DD-MM-YYYY
Request Due to Injury
Please complete this section ONLY for Injury related refund requests.
  1. First and Last Name
Contact for Refund
Please complete ALL fields in this section to avoid delay. NOTE: REFUNDS WILL BE DISBURSED VIA CHEQUE TO THE ADDRESS NOTED BELOW
  1. First and Last Name
  2. 35 Main St.
  3. N0M 2J0
  4. Example: ###-###-####
  5. This email address will be utilized for both communication and e-transfer purposes.
  6. Please advise if a different email address is used for e-transfer purposes than stated above.
  1. Please review the Request for Refund section on the website for the full disclosure of the Refund Policy.
  2. Electronic Signature:
Human Validation
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Printed from c4thstars.ca on Tuesday, November 19, 2019 at 11:32 PM