Hampton City Schools Refund Form
Please complete one (1) refund request form per student.
Email address *
Date of Request *
MM
/
DD
/
YYYY
Please select who the check should be made to: *
Student Name *
Your answer
Student ID Number *
Your answer
Parent/Guardian Name *
Your answer
Mailing Address (Please include city, state, and zip code) *
Your answer
Reason For Request *
Refund Amount of Request *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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