Southtowns Stars Refund Request Form
Please initiate this form to request a partial or full refund of your Southtowns Stars AHA season fees. This request will be reviewed by the Chief Operating Officer/President and the Board of Directors where a recommendation will be made and voted on. Once voted on you will be contacted at phone number or email address your provided with the final decision.

** The Southtown Stars AHA reserves the right to deny partial and/or full refund request once the season has begun.

Player's First Name *
Your answer
Player's Last Name *
Your answer
Parent/Guardian's First & Last Name *
Your answer
What is your email address? *
Your answer
What is the best phone number to reach you? Please include the area code and format 222-222-2222 *
Your answer
What program is the player enrolled in? *
What level is your player enrolled in? *
Why are you initiating a refund request? Please explain in detail. *
Your answer
How much of a refund are you requesting? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.