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<p>Reimbursement Request Form</p>


This is a registration withdrawal request form. If you wish to withdrawal your registration please fill out this form.


<p style="text-align: center"><span style="color: #006600"><span style="font-size: xx-large"><span><b>Granite Bay Junior Lacrosse Club</b></span></span></span></p> <p style="text-align: center"><span style="font-size: x-large"><b><a href="https://leagueathletics.com/UserForm.asp?RegID=8099&amp;snid=93803036&amp;org=gblax.org">Volunteer&nbsp;Application</a></b><br /> </span>This application is confidential and for the use of <br /> Granite Bay Youth Lacrosse Club only.<br /> &nbsp;</p> <hr />