Request for Withdrawal & Refund (Lakefield Minor Hockey)

Print 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^*

Human Validation

Check The Box ^*

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Mon Sep 27, 2021

Printed from lakefieldminorhockey.ca on Monday, September 27, 2021 at 12:18 AM