Refund/Reimbursement Request Form (Zurich Minor Hockey)

Refund/Reimbursement Request Form

Please refer to the refund policy for player registration and submit the below form. Please also use the form below for reimbursement of bench staff certification fees. Submission of the online refund/reimbursement form will be processed by the ZMAA Treasurer. Please allow up to 30 days for your request to be processed.

Requestor Information

Requestor Name :^*

Required

Requestor Mailing Address: ^*

Required

Requestor Email:^*

Required

Example: [email protected]

Requestor Phone Number:^*

Required

Example: ###-###-####

Refund/Reimbursement Request Type:^*

Required

If Registration Refund Requested please enter Players Name:

Players Date of Birth:

Players Registered Division:

Details of Request: (e.g., courses taken/bench staff position, general comments, etc.) ^*

Required

Reason for Player Withdrawal (if applicable):

Documentation to Support (e.g. copies of registration and coach/trainer/manager certification receipts, etc.) :

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 10. Maximum File Size: 4MB.

I agree that the information contained in this request is accurate and I agree to all terms and conditions in making this refund/reimbursement request.^*

Refund/Reimbursement Request Form (Zurich Minor Hockey)

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Requestor Information

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