VENTURA AYSO - REGION 39                              Cancellation / Refund Request Form
This form is only for those that are registered in Ventura AYSO - Region 39.  If you are registered in any other Region you must contact that Region regarding their refund policy.

This form must be completed and submitted in order for Ventura AYSO - Region 39  to process a cancellation of  your child's registration from the current soccer season and generate a refund.  

*** All refunds are subject to eligibility under the Region 39 Refund Policy, which may be viewed at:

* A $15 Processing Fee will be applied to all cancellations.  
* The $20 AYSO National Membership Fee is non-refundable under any circumstance.
* All transaction fees charged for registration are non-refundable.  
Notice of these fees was acknowledged when you completed the online registration.

* GENERAL REFUND - Form must be submitted by July 31, 11:59 PM
     Refund requests submitted prior to August 1 will be entitled to a full refund less the $20.00 AYSO National Membership Fee, $15 Processing Fee and any transaction fees.  
* 50% Refund - Form must be submitted August 1 - August 14, 11:59 PM
      Refund requests submitted prior to August 15 will be entitled to a 50% refund less the $20.00 AYSO National Membership Fee, $15 Processing Fee and any transaction fees.  


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Email *
Child's Full Name (As submitted on registration) *
Child's Date of Birth *
Child's Gender *
Parent's Name (First and Last) *
Parent's Phone Number *
Reason for cancellation and refund request. *
In most cases,  refunds will be issued back to the credit card that you paid with.  
If for any reason we are unable to issue the credit back to your card, or if your original form of payment was cash or check a manual check will be issued.  Please allow two to three weeks for the processing of all refunds.
Make Refund Check Payable to *
Address to mail refund check *
City, State, Zipcode *
A copy of your responses will be emailed to the address you provided.
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