Refund Request 2023-2024 (Brampton Canadettes Girls Hockey Association)
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Refund Request 2023-2024
Please fill out all required information.
REGISTRATION Refund Request:
Please fill out all the requested information to apply for a refund of registration fees for the 2023-2024 Season.
Player Information
Please fill out all required fields
Player's First Name
*
Player's Last Name
*
Player's Date of Birth
*
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Current Team
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Select One...
HL - Rising Stars
HL - U7 Navy
HL - U7 White
HL - U9 Navy
HL - U9 White
HL - U11 Navy
HL - U11 White
HL - U13 Navy
HL - U13 White
HL - U15 Navy
HL - U18 Navy
HL - U15 White
HL - U18 White
HL - HL Development
HL - U11 DS
HL - U13 DS
HL - U15 DS
HL - U18 DS
REP - U9 A
REP - U11 BB
REP - U13 AA
REP - U13 A
REP - U13 B
REP - U15 AA
REP - U15 A
REP - U15 BB
REP - U15 B
REP - U18 AA
REP - U18 A
REP - U18 BB
REP - U22 AA (JUNIOR)
REP - U22 A
REP - SENIOR A
REP - SENIOR B
Parent/Guardian Contact Information
Please fill out all required fields
Parent/Guardian - First & Last Name
*
Parent/Guardian - Email Address
*
Example: yo
[email protected]
. Your submission will be sent to this address.
Parent/Guardian - Phone Number
*
Example: ###-###-####
Other Parent/Guardian - First & Last Name
Other Parent/Guardian - Email Address
Example: yo
[email protected]
. Your submission will be sent to this address.
Other Parent/Guardian - Phone Number
Example: ###-###-####
Reason For Refund
Please provide requested information
Date of Withdrawal From Team
*
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Please explain reason for refund request
*
Payment Information
Please fill out all required fields
Original Form of Payment
*
Debit Card
Etransfer
Visa
MasterCard
Date of Original Payment
*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
<<
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June 2023
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<<
June 2023
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24
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Total Registration Amount Paid $
*
Total Team Fees Paid $
Only applies to REP players
Human Validation
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Printed from bramptoncanadettes.com on Friday, June 9, 2023 at 9:17 PM
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