This is Step 2 in the refund process. Please complete the Player Withdrawal/Drop Form first.
(see link above)

Refund Policy as posted on Santa Monica AYSO Region 20 website:

All refund requests must be submitted using this Refund Request Form.

A $15 processing fee will be deducted for each player Registration Fee refunded.

Before July 1: 100% refund (less processing fee)
July 1 - September 15: 50% refund (less processing fee), providing the complete unused soccer uniform is returned intact.
No fees will be refunded after September 15th.

Fees paid by credit card, will be credited to the credit card account originally charged.
If you paid by check, a refund check will be mailed to your address on file.
Submit questions about this form by e-mail to:

Notification of a completed Refund Request form is sent to the SM AYSO - Refund Administrator via email and automatically compiled into a spreadsheet for future reference.
1. Player First Name *
Your answer
2. Player Last Name *
Your answer
3. Parent First Name *
Your answer
4. Parent Last Name *
Your answer
5. Address, City , Zip *
Your answer
6. Phone # *
Please use this phone number format xxx-xxx-xxxx
Your answer
7. Players Last Division / Age Group *
8. E-Mail Address *
Your answer
9. Method of Payment *
10. Credit Card Transaction #
Your answer
11. Check #
Your answer
12. Amount Paid
Your answer
13. Date Paid
Please use this date format mm-dd-yyyy
Your answer
14. Reason for Refund Request *
Your answer
15. Was this player assigned to a Team *
15a. If you answered Yes to #15, what was the Team Name
Your answer
16. If you answered Yes to #15, did player receive a Uniform
16a. If you answered Yes to #16, did player return the Uniform
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This form was created inside of Santa Monica AYSO Region 20.