Request for Withdrawal & Refund (Lakefield Minor Hockey)
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Request for Withdrawal & Refund
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Request for Withdrawal & Refund
Player's will not be refunded after starting the 2020/21 season unless OMHA or the province shuts down hockey.
Player Information
Please fill in all fields.
Player Name
*
Player Address
*
Level of Play
*
What level of hockey is your player registered for? (Tyke, Bantam, etc.)
Contact Phone Number - Home
*
Example: ###-###-####
Contact Phone Number - Mobile
*
Example: ###-###-####
Email Address
*
Example:
[email protected]
Your submission will be sent to this address.
Reason for Withdrawal/Refund
Please provide specific details for reason for request.
Reason for Request
*
Details required.
Please note:
By submitting this form, the LDMHA will consider this your official withdrawal from our Association for the Current Season.
Your child/player will be immediately removed from our Registration and may not have the ability to return this season, depending on number of teams/registered players.
Agreeing to these terms is mandatory for the LDMHA to continue with your request.
I agree to the terms and conditions stated above
*
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