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2. Broadview Heights Parks and Recreation Department will accept refund request forms for the following circumstances:

   *All refunds are subject to a $5 or 5% fee (whichever is higher) unless program is cancelled by the rec department. If program/class/lesson is cancelled by recreation department a full refund is given. Email all medical documents for Ryan Meyer at Rmeyer@broadview-heights.org.

   ANNUAL MEMBERSHIP - MONTHLY INSTALLMENTS

   • If a member wishes to cancel the remainder of their annual membership monthly installments, the request must be made 7 DAYS prior to the next payment. Monthly cancellations can only be done for the entire household membership, additional household memberships cannot be cancelled individually. Cancellations for memberships can only be requested once in a 12 month period.

   ANNUAL MEMBERSHIP - PAID IN FULL

   • Annual Memberships paid in full are non-refundable and non-transferable. Except in the following cases: 

   Medical reason must be accompanied by a note from the participant’s physician.

   CLASS/PROGRAM/LESSON/PASS REFUND

   • If a participant wishes to cancel or transfer their enrollment in a program (excluding camp and sports leagues): The request must be made 7 DAYS prior to the start of program or scheduled lessons.  Prorated household credit will be given if request made after 7 days is a medical injury or condition. Any medical reason for a household credit must be accompanied by a doctors note and may be followed up on by recreation staff.
   • Group Exercise Passes, 30 Day Passes, and Child Watch Passes are non-refundable and non-transferable. Passes can be extended in the event of a medical injury or condition.   Any request for extension must be accompanied by a doctors note and may be followed up on by recreation staff.

   SUMMER CAMP REFUND

   • Summer camp refund requests must be made prior to April 1^st to receive a refund.   Anything after April 1^st will not be refunded.
   • If a child cannot attend camp due to a medical condition a credit request must be accompanied by a doctors note.  Household credit will be given for summer camp missed due to medical injury or condition.

   SPORTS/LEAGUES REFUND

   • If a participant wishes to request a refund for a sports league, the request must be made prior to the refund deadline (see individual deadlines for each sport).  No refunds or credits will be given after the refund deadline unless there is a medical condition. 
   • Household credit can be requested for a medical condition or injury if submitted after the registration deadline.  All medical requests must be accompanied with a doctor’s note.
4. Participant Information
6. Member or Participant Name*
8. Name of person making request (if different than above)
10. Address*
11. City*
12. Zip*
14. Phone #*
15. E-mail*
17. Refund/Transfer Information
19. Program Name*
21. Date of Request
23. Transfer To:

    If applicable. 

25. Reason for request*

    When completing a refund/cancellation request, please note the refund deadline and policies for the program/membership you are referencing.  We will not respond to inquiries for refunds past the refund deadline.  Thank you. 

27. Cancellation / Refund Request Options*

    1. Cancel Remaining Annual Membership Monthly Installments: I understand this request must be made at least 7 days before the next payment date and can only be cancelled once per 12 month period.
    2. Cancel from a Program: Full Household Credit. No fees will be applied.
    3. Cancel from a Program: Refund Check: I understand a $5.00 or 5% processing fee (whichever is higher) will be applied and will be deducted from the check.
    4. Cancel from a Program: Refund to Credit Card: I understand a $5.00 or 5% processing fee (whichever is higher) will be applied and will be deducted from the refund.

    Refunds will be processed in the same manner in which you originally paid.

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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

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