AYSO Palmdale region 393 player drop request

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Please fill out all questions using the same information you used during registration.

Todays date *

YYYY

Guardian name: *

Player registered name: *

Phone number *

Address: *

E-mail address *

Did your player recieve a uniform? *

Yes

Required

Reason for drop request *

To obtain a refund, all requests need to be submitted in writing made via mail. No later than March 1st for Spring Season or July 1st For Fall Season. Faxed, E-mailed or verbal requests will not be considered. There will be no exceptions to this policy. Please complete this form in its entirety. All requests for refund will be based on the postmarked date. If a team uniform has been issued to the player, the uniform must be returned to the league before the refund will be issued. Unless otherwise noted, the refund check will be made payable to the person who signed the registration form.
Please note that the AYSO membership fee of $20.00 per player is nonrefundable.

Download the form and fill it out, then mail it to our PO Box listed on the form with a self-addressed, stamped envelope.

REFUND REQUEST FORM

Yes, I accept, acknowledge and understand the player drop request and refund policy.

Required

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