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Matrix Refund Request Guidelines:
1. This form is for Matrix program only, and not applicable for Core, EXTRA and VIP.
2. AYSO Membership Fee is not refundable.
3. Refund request made before June 1st is subject to a $100 administrative fee.
4. Refund request made between June 1st and July 31st is subject to a $200 administrative fee.
5. No refunds will be given starting Aug 1st.
6. For refund questions, please email
Name of player(s): *
Your answer
Name of Parent/Guardian: *
Your answer
Email address: *
Your answer
Contact Phone Number: *
Your answer
Name of Team: *
Your answer
Name of Coach: *
Your answer
Reason for refund request: *
Your answer
Refund method preferred: *
Refund Check Information (payee and complete address): *
Your answer
I certify that I am authorized to request refund: *
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