Registration Refund 2021 (Wilmot Girls Hockey)

Registration Refund 2021

This form is for players requesting a refund due to OWHA's mandatory proof of vaccination requirement.

Name of player:^*

Required

Player's team:^*

Required

Name of parent / guardian requesting refund:^*

Required

Parent / guardian email address:^*

Required

Example: [email protected]

Method of original payment:^*

credit card
cheque
e-Transfer
cash

Required

Preferred method of refund:^*

credit card (only available to those who paid by credit card originally and will be less 2.2% credit card fee)
cheque for registration fee (refund is for registration fees only and does not include credit card admin fees paid)

Required

Only if cheque is selected for refund:

Please fill out the information for mailing address only if you selected "cheque" above for the refund.

street number and name:

city / town:

postal code:

Registration Refund 2021 (Wilmot Girls Hockey)

Only if cheque is selected for refund:

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