Opening Day: September 10, 2016 Picture Day: September 17, 2016
2017 FALL SEASON REFUND POLICY Opening Day: September 9th Picture Day: September 16th Refund requests postmarked on or before July 1, 2017 will be reviewed by the Regional Commissioner and if approved will be forwarded to the Treasurer for payment within 45 days of initial receipt. Approved requests will be refunded at 100% of the Registration Fee paid less a $50.00 charge (for fixed fees and charges) and excluding any discounts for multiple child registrations. Refund requests postmarked between July 2, 2017- August 15, 2017 will be reviewed by the Regional Commissioner and, subject to approval will be forwarded to the Treasurer for payment within 45 days of initial receipt. Approved requests will be refunded at 50% of the Registration Fee paid excluding any discounts given for multiple child registrations. The reimbursement reflects expenses for insurance, equipment and uniforms the Region has incurred in anticipation of your child playing. Refund requests postmarked after August 15, 2017 will not be honored. If AYSO is unable to place your child on a team, you will be reimbursed the full amount paid for your child. Acknowledgement & acceptance of refund policy__________
INSTRUCTIONS
(Parent Initials)
Complete the form as indicated below and mail to: Belmont/RWS AYSO Region 108 P. O. Box 687, Belmont, CA 94002
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AYSO REFUND REQUEST
Refund requested for: ___________________________________ Refund Requested Date: ___________ (Player’s Name) Player’s Birthdate:_______________________________ Division Information: Boy Girl U-_________
Registration Details: Event Registration Date (Circle One): 4/22/17
4/26/17
(Circle One)
(Division U-10)
4/29/17
Enter Online Registration Date:______________ *attach copy of Receipt from Online payment. Reason for Refund:_____________________________________________________________________ Issue Refund Payment to:
_______________________________________________________________ (Name)
_______________________________________________________________ (Street Address)
_______________________________________________________________ (City, State, Zip)
_______________________________________________________________
Contact Details for questions: provide email and/or Telephone
****************************FOR AYSO USE ONLY********************************** Name or Business as it appears on Check or Card:____________________________________________ Player Fee(s) #1: $_________ #2: $__________ #3: $________ #4: $________= Total Due: $__________ Check #____________ Card Type & Last four #’s: _______________ Cash __________________
INSTRUCTIONS
(Parent Initials)
Complete the form as indicated below and mail to: Belmont/RWS AYSO Region 108 P. O. Box 687, Belmont, CA 94002
**************************************************************************************
AYSO REFUND REQUEST
Refund requested for: ___________________________________ Refund Requested Date: ___________ (Player’s Name) Player’s Birthdate:_______________________________ Division Information: Boy Girl U-_________
Registration Details: Event Registration Date (Circle One): 4/22/17
4/26/17
(Circle One)
(Division U-10)
4/29/17
Enter Online Registration Date:______________ *attach copy of Receipt from Online payment. Reason for Refund:_____________________________________________________________________ Issue Refund Payment to:
_______________________________________________________________ (Name)
_______________________________________________________________ (Street Address)
_______________________________________________________________ (City, State, Zip)
_______________________________________________________________
Contact Details for questions: provide email and/or Telephone
****************************FOR AYSO USE ONLY********************************** Name or Business as it appears on Check or Card:____________________________________________ Player Fee(s) #1: $_________ #2: $__________ #3: $________ #4: $________= Total Due: $__________ Check #____________ Card Type & Last four #’s: _______________ Cash __________________
