Cancellation Form

ALL REFUNDS ARE SUBJECT TO FINAL APPROVAL BY PROGRAM SUPERVISOR
ALL REFUNDS ARE SUBJECT TO A $5.00 SERVICE CHARGE

Batavia Park District Application for Program Refund

1. Class Cancellations/Park District Closings:
   Class cancellations or Park District closings will result in a refund that will be mailed to the person who was enrolled in the class unless participant is a minor, the refund will go to Parent/Guardian who signs registration form. If you wish to apply this refund to another class, you must notify the Park District immediately.
2. Refund 5 Business Days Prior to Class:
   Refund requests received 5 business days before the first class meeting will be accepted, less a service charge. If application is received less than 5 business days prior to start of program and it causes enrollment to fall below minimum and the spot cannot be filled, no refund will be given.
3. Refunds After Start of Program:
   Refund requests received after the second meeting of the program will not receive a refund with the exception of a written medical excuse prior to completion of the program. Fees will be pro-rated starting with the day the refund form is received in the Park District Office. A $5 service charge and program supply costs will be deducted from the amount of refund for each program, including medical reasons. Medical excuses will result in a pro-rated refund based upon the number of classes held prior to the date listed on the physician excuse. If program falls below the minimum required and the spot cannot be filled, no refund will be given.
4. One-day Program Refunds (with the exception of Klub Fun):
   Applications for refunds for one-day programs must be submitted 5 business days prior to class starting in order to receive a refund. Refunds will not be accepted after the class has ended. *All refunds will be issued in the form of a check when application is applied for before the class starts. Checks are processed by the Batavia Park District front office bi-monthly and sent via mail. *All refunds applied for are subject to a $5 service charge. Instances where fees are $10 or less, the service charge will be based on 10%.

*Kids Club, Klub Fun, New Horizons and Kamp Kaleidoscope participants are subject to different terms of refund and withdrawal policy. See parent manuals for more information.

Date of Application for Refund

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Session

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Year

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Registration Fees

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Code #

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Participant's Name

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Parent's Name

(if participant is a minor)

Email Address

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Address

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Address 2

City

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State

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Zip

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Telephone

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(Daytime)

Telephone

(Evening)

Reason For Withdraw

I HAVE READ AND UNDERSTAND THE REFUND POLICY IN THIS APPLICATION.

Please enter the text in the image

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Submit Cancel