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.

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 ^*

Team Sites

View AllOur Sponsors

Battaglia Homes

Coyles Tire & Auto

Social Networking

Follow Us On

Follow Lakefield Minor Hockey on Twitter

- and -

Visit Lakefield Minor Hockey on Facebook

- and -

Follow Lakefield Minor Hockey on Instagram

Quick Links

Manage Subscriptions

Signup to receive email or text messages for the teams you want to follow.

Powered By MBSportsWebWebmail Privacy Policy Terms Of Use View Mobile Site Beta Preview

Tue Jul 14, 2020

Printed from lakefieldminorhockey.ca on Tuesday, July 14, 2020 at 6:53 PM

Leagues

Representative

Recreational