WGHA Refund Request Form (Whitby Girls Hockey Association)

Print WGHA Refund Request Form
Please ensure you have read the withdrawal charts and understand the dates in which you are eligible for a refund.
Refund Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. Who cheque should be made payable to
  3. Who cheque should be made payable to
  4. Example: [email protected] Your submission will be sent to this address.
  5. Example: ###-###-####
Team Information
  1. First and Last Name
  2. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Date of Birth of Player Withdrawing
  3. If already placed on a HL team, please indicate Team #
  4. Coaches name if already placed on a team. If not, NO COACH.
Reason
  1. Note: if the withdrawal is related to illnesses or injuries, a copy of the doctor's note must be provided to the WGHA Registrar at [email protected]
Office Use Only
    Human Validation