GYSF Refund Request

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GYSF Refund Request

Date Submitted *

YYYY

Child's First and Last Name *

Parent/Guardian First and Last Name *

Street Address *

City, State, Zip Code *

Phone Number *

Email Address *

Which Program did you sign up for? *

Flag 1st

Flag 2nd

Flag 3rd

Flag 4th

Cheer

Tackle 3rd

Tackle 4th

Tackle 5th

Tackle 6th

Tackle 7th

Tackle 8th

Reason for Requesting Refund *

Which Refund are you Requesting? *

100% Refund minus a $3 fee - submission made prior to Uniforms Ordered

75% Refund minus a $3 fee & minus $150 Uniform Fee or $35 Flag Fee - submission made After Draft or Flag / Cheer placement

50% Refund minus a $3 fee - submission made after First Practice and Before First Game

0% Refund - after First Game Played

Medical Refund - dollar amount TBD by GYSF Board of Directors

No Refund - no payment has been made

Donation to GYSF - Football -- Please state amount in the Reason for Requesting Refund Field

Submit

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