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Refund Request: 5 Cities AYSO Region 83
Please complete the following form if you requesting a refund for the
Fall 2023
Season.
Important Notes:
The $20.00 National fee and processing fee are NON REFUNDABLE.
A refund for fall registration requested after playing in the first game or second game of the season, is subject to a 50% reduction to compensate AYSO Region 83 for insurance and uniform costs incurred by the region.
A refund for fall registration requested after the first two games of the season, i.e., after the weekend of the second game, will be denied.
All refunds are contingent on the return of any uniforms or equipment provided to the player.
Requests not containing all required information will be denied.
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Email
*
Your email
Parent/Guardian First and Last Name
*
Your answer
Player's First and Last Name
*
Your answer
Player's Date of Birth
*
MM
/
DD
/
YYYY
Team name (if applicable)
Your answer
Coaches name (if known at the time of request)
Your answer
Thank you for completing the refund request form for Fall 2023. We will review your request and be in contact with you shortly.
-Region 83 Registrar
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