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Home > Request Player Withdrawal 2024-2025

Due to credit card regulations, we can only process a refund to the exact card that was used at the time of registration.  

To complete the withdrawal request, you must have the following information ready:
  • Name of the participant as entered at the time of registration
  • Approximate date of the original registration

* Indicates Required Field

Player Information

Are you a returning Player?

First Name *


Last Name *


Birthdate *


Access Code

(Only returning players need to enter the Access Code.)



Email Address *


Hockey USA Number *


Address *


City / Hometown *


State *



Zip Code *


Phone Number *


Enable Text Messaging to Phone Number



Secondary Phone Number


Enable Text Messaging to Secondary Phone Number



Type of Refund *

Reason for Refund Request *

If Medical, Doctors reports

(Maximum file upload size is 8MB.)





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