MDSA Player Withdrawal Form
The $20 AYSO Annual Membership Fee is non-refundable and will not be returned as part of a player withdrawal request. The player will continue to be an AYSO Member for the duration of the 2022 Player Year (August 1, 2022 through July 31, 2023). Please see www.ayso.org for more information.

All player withdrawal requests received by February 24, 2023 (the team building player count lock-in date) will receive a full refund of Spring Fall Registration Fee minus discounts and including any late fees provided that any equipment that has been distributed to the player has been returned. After this date, refunds will not include the non-refundable $20 AYSO Annual Membership fee and will only be considered if all provided equipment is returned.

If there are special considerations, please include them in the Notes/Comments section of the Player Withdrawal Request. They will be reviewed by the Registrar and Regional Commissioner.
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Player Name *
Date of Birth
MM
/
DD
/
YYYY
Division/Age Group
Email *
Person Submitting Request *
Phone
Address
Notes/Comment/Reason for withdrawal *
Submit
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