HHMH FEES REFUND FORM

Please fill out this form after reading the HHMH Refund Policy .

Once the request has been received, it will be reviewed and you will be contacted via the email you have provided in the form.

I acknowledge that all registration refunds are subject to administrative and other fees as set out in the HHMH Refund Policy.

If you paid with a credit card, your card will be refunded. If you paid via etranfer, or cheque, a refund cheque will need to be issued.

I acknowledge that I have read and understand the Refund Policy.

I have read agree with the statements above.^*

Date of Submission^*

Required

Today's date

Participant Name^*

Required

Parent/Guardian Name^*

Required

Division Played In^*

Required

E.g. U8, U12, etc

Current Team (if applicable)

E.g. U8 AA, U12 HL Blue Team 1, etc

Email- PLEASE ENSURE SYNTAX CORRECT^*

Required

Example: [email protected]. Your submission will be sent to this address.

Phone^*

Required

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

Date for Refund^*

Required

i.e. where the refund would commence from

Reason for Refund^*

Required

Description for refund request

Will participant come back in the future?^*

Required

2024-25 Refund Form (Halton Hills Minor Hockey)

OMHA Digital Network

HHMH FEES REFUND FORM

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