AYSO Region 873 Withdrawal/Refund Request Form

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This form is to be used to request any refund of registration fees from the Iron County, Utah Region. Refunds are executed through the current refund policy, which can be accessed at https://www.ayso873.org/Default.aspx?tabid=948538

In general, soccer registration fees are non-refundable. Most refund requests will only be handled through the SecureFee cancellation insurance that can be purchased during registration. Therefore, refund requests should be pursued by filing a claim through the SecureFee claims intake line at 866-232-0738 within 20 days after a covered reason. Be sure to have your policy number handy.

Under extraordinary circumstances the region will consider some partial refunds, not including membership fees, credit card fees or uniform fees. If you would still like to request a refund, please complete this form and a Region representative will be in contact with you within 1 week. Only account owners are allowed to request refunds through this form. Please allow at least two weeks for refunds to be processed.

Email *

Name of Account Owner *

Address where refund should be sent by mail *

Phone number

Please list the player(s) for whom you are requesting a refund. Include first and last name.

Did you purchase the SecureFee cancellation insurance during registration checkout? *

Yes

Please explain reason for refund request *

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A copy of your responses will be emailed to the address you provided.

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