Required fields are marked with asterisks (*)

Program Cancellation Form

The following charges will be assessed for cancellations. All programs require refunds to be requested 7 days before classes start. There is a $10 service charge per class for cancellations with a 7-day notice. Cancellations after that time will result in a 100% CLASS FEE SURCHARGE. Programs canceled by the Recreation & Senior Center because of low enrollment will receive a full refund or account credit.

Summer Camp has a separate cancellation policy. Visit the Summer Day Camp page for more information.

Learn more about program cancellations.

Today's Date

Participants Name

Parent/Guardian's Name (If child is registered)

Which type of program are you canceling?

Aquatic Program or Swim Lessons

Fitness Program

Senior Program

Youth or Adult Sport Program

Youth or Teen Program

Not Sure

Household Number

Phone Number

Email Address

Activity Title

Activity Number

Session Number (If Applicable)

Reason for Cancellation