AYSO Region 39 - Ventura Drop/Refund Request Form
Notification of Withdrawal/Drop & Refund Request
This form must be completed and submitted in order for AYSO Region 39 to process a cancellation of your child's registration from the current soccer season and generate a refund.

*** All refunds are subject to eligibility under the Region 39 Refund Policy, which may be viewed at: www.ayso39.org/Default.aspx?tabid=853771

* Full Refund (less the $17.50 AYSO National Membership Fee): Form must be submitted by July 31, 11:59 PM
* 50% Refund (less the $17.50 AYSO National Membership Fee): Form must be submitted August 1 - August 14, 11:59 PM
** No refunds will be issued after August 14.
Please note, the AYSO Membership Fee of $17.50 is not refundable under any circumstance; your agreement to this policy was acknowledged when you registered your child. Therefore any refunds issued will be less the $17.50 AYSO Membership Fee.

Email address *
Child's Full Name (As submitted on registration) *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Gender *
Parent's Name (First and Last) *
Your answer
Parent's Phone Number *
Your answer
Reason for drop/refund request. Comments *
Your answer
In most cases, if you paid by credit card your refund will be issued back to the card that you paid with.
If for any reason we are unable to issue the credit back to your card, or if your original form of payment was cash or check a manual check will be issued.
Make Refund Check Payable to *
Your answer
Address to mail refund check *
Your answer
City, State, Zipcode *
Your answer
A copy of your responses will be emailed to the address you provided.
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