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refund request form

2. Broadview Heights Parks and Recreation Department
   Refund request form <BR><BR> <ul> <li>If the Recreation Department cancels a class, each participant will receive a full refund.</li> <li>If a participant wishes to cancel or transfer their enrollment in a program , the request must be made 5 days prior to the starting date of the program. </li> <li>Participant has the option of receiving a full household credit or a reimbursement check/refund to credit card less a $5 fee.</li> <li>In the case of programs that require team assignments, such as soccer, baseball, basketball and other athletics, no refunds will be given after the registration deadline as established by the Recreation Department.</li> <li>Recreation Center Memberships are non-refundable and non-transferable, except in the case of verified medical condition or verified re-location of more than 25 miles from the recreation center.</li> <li>Program Passes are non-refundable and non-transferable. (BH Group Exercise and Child Care) </li> </ul>

   Refund request form
   
   

   • If the Recreation Department cancels a class, each participant will receive a full refund.
   • If a participant wishes to cancel or transfer their enrollment in a program , the request must be made 5 days prior to the starting date of the program.
   • Participant has the option of receiving a full household credit or a reimbursement check/refund to credit card less a $5 fee.
   • In the case of programs that require team assignments, such as soccer, baseball, basketball and other athletics, no refunds will be given after the registration deadline as established by the Recreation Department.
   • Recreation Center Memberships are non-refundable and non-transferable, except in the case of verified medical condition or verified re-location of more than 25 miles from the recreation center.
   • Program Passes are non-refundable and non-transferable. (BH Group Exercise and Child Care)

4. Name of person making refund request*

6. Name of participant (if different than above)

8. Address*

9. City*

10. Zip*

12. Phone #*

13. e-mail*

15. Program name*

16. section number (if applicable)

18. Reason for refund request*

20. Please select one
    (Check/Credit Card Refunds will be processed in the same manner in which you originally paid)

    (Check/Credit Card Refunds will be processed in the same manner in which you originally paid)

22. Options*

    1. Household credit
    2. Reimbursement check
    3. Refund to credit card

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field