Fairport Raiders Youth Football and Cheer

Request for Refund Form

Requests must be in writing and postmarked 4 week prior the start of the season.  All refunds are subject to 25% of the total registration fee, less a $10 processing fee.

Date Submitted:   ________________________________________

Parent/Custodian Name that payed the registration fee:  _________________________________

Athlete's Name:   _________________________________________

Circle Player:  Cheer or Football

Circle Level:      A         B        C        Advanced Flag           K-2 Flag

Address where refund check is to be sent: (Please allow 2-4 weeks):

_________________________________________________________

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Current Phone Number: _____________________________________   

Reason for Refund Request:   _________________________________

_________________________________________________________

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Additional Comments:  __________________________________________________________

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You may email to:

President@FairportRaiders.com

-OR-

Mail your request to:

FPAA/Refund Request

PO Box 721

Fairport, NY 14450