MiniRoos Kick Off Refund Form

Refunds are granted in accordance to Football Australia’s MiniRoos Kick Off Refund Policy.

Please note: Given the fee structure of a MiniRoos Kick Off Program, Football Australia is only permitted to refund $35.00 National & State Fee.

To request a refund for the additional fee implemented by your MiniRoos Kick Off Site / Club, you will need to contact the Program Manager directly.

MiniRoos Kick Off Site (Site / Club name)*

Please select your Member Federation*

Participant Name*

First Name

Last Name

Email*

Reason for Refund*

Account Name*

BSB Number*

Account Number*

Signature*

Use your mouse or finger to draw your signature above