Spring 2020 Refund

Deadline for Refund May 15,2020, 11:45 pm

1. Player Name*
First Middle Last
2. Gender*
- Boy
- Girl
3. Birth Date*
Division Player signed up*
5. Do you have Multiple Children signed up for Spring Season 2020?*
5A. If you answered yes to question 5,Please list Siblings names below
Example: Jon Smith
6. Please select on how you would like your partial refund from the 2020 Spring season*
- Donate my partial refund to the Oceanside Breakers
- I would like to use my partial refund for the Fall 2021 Season
- I would like a check for my partial refund
*please allow up to 45 days from date of request*
7. Parent/Guardian Name*
Prefix First Middle Last
8. Cell Phone*
9. Email*
Enter Email Confirm Email
10. Address ( Partial Refund to be mailed to)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
11. Today's Date*
12. Consent*
I agree to the privacy policy.
By Signing this electronic form you are agreeing to have your partial refund designated based on the answers you gave on this form.
13. Signature