Request edit access
2025 Refund Request: 5 Cities AYSO Region 83
Please complete the following form if you requesting a refund for the Fall 2025 Season. 

Important Notes:
  • The $25.00 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 reviewed on a case-by-case basis. 
  • 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.
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian First and Last Name *
Player's First and Last Name *
Player's Date of Birth *
MM
/
DD
/
YYYY
Player division 
Clear selection
Team name (if applicable) 
Coaches name (if known at the time of request)
Are you looking for a refund or possible add to a spot on another team due to practice conflicts? CHECK YES BELOW- There is no guarantee that if a child is moved to another team, that there won't be another conflict. If so, you will be contacted by a board member to clarify. 

If you are just wanting a refund, check NO below.
*
Thank you for completing the refund request form for Fall 2025. We will review your request and contact you via email if your request has been approved. Thank you for your patience.

-Region 83 Registrar
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report