Withdrawal Request

If you have registered with the Glenlake Minor Hockey Club and need to withdraw you will NEED to complete the online form. The date and time stamp on the submitted form will be used as part of the refund policy.

Your Name *

Your Email *

Withdrawing Player Information

Player Hockey Canada ID number *

This number was required to register your player Please visit our website to learn howe to find this number - https://www.glenlakehockey.com/registration/

Player Last Name *

Player First Name *

Birthdate of Withdrawing Player *

Which is age group is your player registered for? *

Reason for Withdrawal *

Withdrawing Parent/Guardian Information

Name of the parent/guardian requesting the withdrawal *

Email of the parent/guardian requesting the withdrawal *

Relationship to withdrawing player *

I have read and agree to the refund policy as found on the Glenlake website *

Yes, I agree to the Glenlake Refund policy and understand that there is a non refundable administrative fee charged.