CVHA Refund Form 2022-23, CVHA House League (City of Vaughan Hockey)
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CVHA House League
CVHA Refund Form 2022-23
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CVHA Refund Form 2022-23
This Form is to used for all NON COVID related refunds Refunds will ONLY be given if submitted on the form below no later than the 3rd Tuesday in October.. The following administration fees will be deducted from the original registration fee: • A $75.00 administration fee will be deducted from ALL refunds. • $20.00 will also be deducted for credit card registrants. If a player sustains an injury or illness and is unable to finish the season after 3rd Tuesday October, partial refunds may be granted. In these cases the administration fee and $50.00 jersey and sock fee will be deducted from the full amount first. The refund will be based on the number of weeks to the end of the regular season from the date of written request is received in the CVHA Office. (Please Note: Refunds take a minimum of 4-6 weeks)
Personal Information
Players First & Last Name
*
Players Date of Birth
*
Parent's First & Last Name
*
Parent Email Address
*
Example:
[email protected]
Home Address
*
City
*
Parent Phone Number
*
Day number please- mobile preferred
Postal Code
*
Refund Information
Division Playing in
*
Team Name Playing on
*
Reason for Refund
*
Select One...
Does not want to Play
Injury
Withdrawal due to COVID
If this is an injury related withdrawal you are required to attach Dr. note
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.
Scan and attach copy of Dr.'s Note
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