Refunds-Players (Belle River District Minor Hockey Association)
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Refunds-Players
Please fill out the Request for Refund form below. All Refund requests are subject to a $35 Administration fee. Refunds are restricted and will be handled individually on a case by case basis. Refunds will be further prorated based on the number of partial or full months the players are rostered to a team up until December 31st. After approval, the Finance director will process a refund cheque. This process can take up to two weeks after approvals. Cheques can be picked up in the BRDMHA Hockey office during Regular office hours. No Refunds will be provided after December 31st. Contact Financial Officer Alex Dominato;
[email protected]
or Ron Gallant;
[email protected]
Contact Info
Date
*
Player Name
*
Date of Birth
*
Division =U
*
Team #
*
Head Coach
League
*
House League
Travel
Parents Name (s)
*
Phone #
*
Full Address
*
Email Address
*
Reason for Refund
Reason for Refund
Player released to play AAA
Player released to another Hockey Association
Player wishes to withdraw on their own accord
Medical
Other
Check One
If Medical or Other add more details as to why you are requesting a refund
ALL DIVISIONS: Prior to Season - 100% fees refunded less a $35 Administration Fee In Season - Registration refunds are prorated monthly, less a $35 Administration Fee No registration refunds will be issued after December 31st of each calendar year. Players who cannot continue to play due to a medical condition, their refund amount will be assessed on an individual basis. Email
[email protected]
providing details. All cheques will be available for pick-up during BRDMHA office hours within two weeks. Office hours are held weekly in the BRDMHA office (ATRC-ROCK Walking Track)
I agree to the terms and conditions stated above
*
Office Use Only
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