House League Basketball Refund Form (JCC Basketball)

House League Basketball Refund Form

The following administration fees will be deducted from the registration: A $50 admin fee and any other applicable fees attributed to our external merchant on any refund processed. All refunds will also consider other fees incurred by the JCC on behalf of the player. Once the season has started you will receive a prorated refund/credit. This refund/credit will be based on the number of sessions used and take into account the following factors: merchant fees/admin fee/costs attributed to the JCC/etc. Deadline for refund submission is November 15th, 2023. If a player sustains an injury or illness and is unable to finish the season a doctor's note is required. An injury refund will be based on the number of sessions to the end of the regular season from the date of written request is received in the JCC Sports Office. Please Note: Refunds take a minimum of 10-15 business days to appear back on your card.

Personal Information

Player First Name^*

Required

Player Last Name^*

Required

Player Date of Birth^*

Required

Parent/Guardian First & Last Name^*

Required

Parent/Guardian Email Address^*

Required

This Email will be used for all correspondence

Parent/Guardian Phone Number^*

Required

Example: ###-###-####

Home Address^*

Required

Postal Code^*

Required

Refund Information

Division Playing^*

Required

Basketball Session Attended by Participant^*

Required

Example: Monday 7:00PM EST

Location^*

Required

Example: Monday 7:00PM EST

Reason For Refund^*

Required

Example: Monday 7:00PM EST

Injury/Illness Documentation

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 1. Maximum File Size: 4MB.

If selected Illness/Injury, please provide a Doctor's Note.