Request for Withdrawal & Refund (Lakefield Minor Hockey)

Print Request for Withdrawal & Refund
Please fill in all applicable fields.
Player Information
Please fill in all fields.
  3. What level of hockey is your player registered for? (Tyke, Bantam, etc.)
  4. Example: ###-###-####
  5. Example: ###-###-####
  6. Example: [email protected] Your submission will be sent to this address.
Reason for Withdrawal/Refund
Please provide specific details for reason for request.
  1. Details required.
  1. 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.
Human Validation
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Printed from lakefieldminorhockey.ca on Sunday, September 20, 2020 at 7:13 AM