Player Refund Form

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MTAA Player Refund Form

  
                   
Parent Name: _____________________________________ Child:  _______________________________  
                   
Address:  ______________________________________________________________________________________  
        Street   City State Zip  
                   
Telephone:        
    Home ________________________________   Cell _____________________________  
                   
                   
                   
Sport & Level (Circle One)          
                   
    Softball: 8U 10U 12 U        
                   
    Baseball: T-Ball Coach Pitch Knee-Hi Mite Diamond Fall Ball  
                   
    Football: Flag Knee-Hi Mite Midget      
                   
    Cheerleading: Flag Knee-Hi Mite Midget Competition    
                   
    Field Hockey: Junior Senior          
                   
    Boys Basketball: Knee-Hi Mites Junior Travel      
                   
    Girls Basketball: Gr 3 & 4 Gr 5 & 6 Travel        
                   
    Wrestling: All Ages            
                   
                   
Head Coach Name: _______________________________________________________________________  
                   
                   
Please complete all of the above sections and turn into MTAA Treasurer at a General Board Meeting or mail the form and a self-addressed stamped envelope to:  
 
      M.T.A.A.        
      Attn: Player Refund        
      PO Box 127        
      Temple, PA 19560        
 
Your refund will be mailed out within 15 days of receipt  
                   
M.T.A.A. Use Only Below This Point  
                   
Has player attended more than two practices Yes No      
                   
Has player turned in all MTAA issued equipment Yes No      
                   
                   
Date Issued Check # Check Amount Initials