Lakewood - Bellflower
AYSO REGION 106 REFUND POLICY & PLAYER DROP FORM Players that drop from our league may receive a refund per the following guidelines and procedures: Guidelines: FALL SEASON 1. Any player, who withdraws prior to August 1st, of the year in which the season begins, will result in a full refund of the Registration fee, providing that the player/parent submits a request for a refund by completing the region 106 Refund Policy & Player Drop Form. 2. Any player who withdraws on or after August 1st, of the year in which the season begins, and prior to opening day will result in a full refund, less the cost of the AYSO National Registration Fee, provided that the player/parent submits a request for a refund by completing the Region 106 Refund Policy & Player Drop Form. The cost of the uniform will also be deducted from any refund unless the uniform is returned unused. 3. Any player who withdraws on or after the first game of the season or anytime thereafter shall not be entitled to a refund. The first game date may be different depending on the gender and/or age division of the player SPRING REC SEASON 1. Any player, who withdraws prior to March 1st, of the year in which the season begins, will result in a full refund of the Registration fee, providing that the player/parent submits a request for a refund by completing the region 106 Refund Policy & Player Drop Form. 2. Any player who withdraws on or after March 1st, of the year in which the season begins, and prior to the date of the first game will result in a full refund, less the cost of the AYSO National Registration Fee, provided that the player/parent submits a request for a refund by completing the Region 106 Refund Policy & Player Drop Form. The cost of the uniform will also be deducted from any refund unless the uniform is returned unused. 3. Any player who withdraws on or after participating in the first game of the season or anytime thereafter shall not be entitled to a refund. Procedure: 1. Parent: The parent/guardian requesting the drop must obtain a Player Drop Form, complete the “Parent” section below, sign and have the coach sign. The form can be obtained from the AYSO Region 106 website. (Prior to being assigned to a team, Parent must forward the completed form to the Regional Registrar. (see address below) 2.
Registrar: The Registrar will notify the league Treasurer of the amount of the refund and where the send the refund. The Regional Commissioner will be notified of every player drop
PARENT (please fill out information requested below) Player’s Name:________________________________________________
Date of Drop: ______________________
Address: _____________________________________________________
Parent’s Name: _____________________
City/Zip: _____________________________________________________
Phone #: __________________________
Player’s Date of Birth: __________________________________________
Gender: __________________________
I am requesting that the player named above be dropped from further participation in AYSO and a refund be issued in accordance with AYSO Region 106’s “Player Drop and Refund” Policy and Regional Bylaws Signature (parent or guardian) ___________________________________
Date: _____________________________
Reason for Drop: ____________________________________________________________________________________ __________________________________________________________________________________________________
COACH (please fill out information requested below & Sign) Coach’s Name:________________________________________________ Uniform Returned: __________________
Division/Team#_____________________
Attended any Practices?: ____________
Coach’s Signature: ____________________________________________
Attended any Games?: _________
Date: _____________________________
REGION 106 USE ONLY Refund issued: Yes / No Check #: __________
Date Check Mailed: ___________Check #: _________ Amount $: ________
AYSO REGION 106 P.O. BOX 310, LAKEWOOD, CA 90714-0310 Refund Policy& Player Drop Form –Revised 05/2014
Registrar: The Registrar will notify the league Treasurer of the amount of the refund and where the send the refund. The Regional Commissioner will be notified of every player drop
PARENT (please fill out information requested below) Player’s Name:________________________________________________
Date of Drop: ______________________
Address: _____________________________________________________
Parent’s Name: _____________________
City/Zip: _____________________________________________________
Phone #: __________________________
Player’s Date of Birth: __________________________________________
Gender: __________________________
I am requesting that the player named above be dropped from further participation in AYSO and a refund be issued in accordance with AYSO Region 106’s “Player Drop and Refund” Policy and Regional Bylaws Signature (parent or guardian) ___________________________________
Date: _____________________________
Reason for Drop: ____________________________________________________________________________________ __________________________________________________________________________________________________
COACH (please fill out information requested below & Sign) Coach’s Name:________________________________________________ Uniform Returned: __________________
Division/Team#_____________________
Attended any Practices?: ____________
Coach’s Signature: ____________________________________________
Attended any Games?: _________
Date: _____________________________
REGION 106 USE ONLY Refund issued: Yes / No Check #: __________
Date Check Mailed: ___________Check #: _________ Amount $: ________
AYSO REGION 106 P.O. BOX 310, LAKEWOOD, CA 90714-0310 Refund Policy& Player Drop Form –Revised 05/2014
