EJRT
                                  Refund Request 
                                  (Please Print) 

Refund Policy - EJRT will refund 80% of league registration fees if request is made prior 
to the start of play. Once the season has started for a given league through May 10, 50% 
of the registration fee will be returned. No refunds will be given for requests made after 
May 10. Please complete refund request form. 


Parent’s Name: ________________________________________________________ 
                           First Name         Last Name
 
Player’s Name: ________________________________________________________ 
                            First Name         Last Name 

Address: _____________________________________________________________ 


City: _____________________________State: _______________Zip:____________ 


Team Name: __________________________________________________________ 


Manager’s Name: ______________________________________________________ 


Grade Level: _______________________ Amount Paid: ______________________ 


Reason for Request: ___________________________________________________ 


_____________________________________________________________________ 


_____________________________________________________________________ 


_____________________________________________________________________ 


Parent’s Signature: ____________________________________________________ 


Date Submitted:_______________________