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Refund Claim Request

2. About Refunds
   Refunds are available for class or program registration cancellations by registrants up to 3 business days prior to the first program meeting. A refund request must be completed. All refunds are subject to a processing fee based on the type of program. Please allow 2-4 weeks to process all claims.

   Refunds are available for class or program registration cancellations by registrants up to 3 business days prior to the first program meeting. A refund request must be completed. All refunds are subject to a processing fee based on the type of program. Please allow 2-4 weeks to process all claims.

4. First Name*

5. Last Name*

7. Address*

9. City*

10. State*

11. ZIP*

13. Phone*

14. Email*

18. Program and Claim Information

20. Program*

21. Program Start Date*
    Program Start Date

23. If claim is approved, how would you like your refund?*

    1. Check (Cash/Check Payments Only) (Processing Fees Apply)
    2. Original Credit Card Return (Processing Fees Apply)

25. What is the refund amount being claimed?*

27. What is the reason for the refund request?*

31. Processing Fees
    All refunds are subject to a $10 processing fee. A $5 processing fee will be applied to Senior Pograms. A $25 processing fee will be applied to Camps and Fall/Winter Hockey Program (Mighty Mites). A $125 processing fee will be applied to Fall/Winter Hockey Program (Bantam, Pee Wee, and Squirts).

    All refunds are subject to a $10 processing fee. A $5 processing fee will be applied to Senior Pograms. A $25 processing fee will be applied to Camps and Fall/Winter Hockey Program (Mighty Mites). A $125 processing fee will be applied to Fall/Winter Hockey Program (Bantam, Pee Wee, and Squirts).

35. Signature

37. I have reviewed this claim and to the best of my knowledge and belief, this claim is true, correct, and complete.

39. Signature*

    1. By checking this box, I authorize my signature.

40. DATE*
    DATE

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field