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2. Refunds for instructional classes will be considered only if requested in writing or by submitting this form. Please see the refund policy below for eligibility rules.

   REFUND POLICY

   Cancelled by Department: Full Amount of Class Fee 

   Customer Cancels:  

   1. Cancel by 5:00 p.m. , 1 week prior to 1st day of class: a. Class fee - less $10 processing fee 

   2. Less than one week prior to the 1st day of class, no later than the start of the 2nd class: a. 50% of class fee 

   3. After the start of the 2nd class a. NO refund 

   Check refunds require 3-4 weeks to process. Refunds for annual memberships will be made only in extraordinary circumstances upon written request. NO refunds on materials fees or T-ball/coach pitch.  

4. Participant's Name*
5. Parent / Guardian / Payer*
7. Address
9. City
10. State
11. Zip Code
13. Primary Phone Number*
14. Email Address
16. Are you a Kirksey Recreation Center Member?*

    1. Yes
    2. No
17. Would you like this refund applied to your account for future use?*

    1. Yes
    2. No
19. Reason for refund*
21. Activity Name*
22. Day and time of Activity*
23. Fee*
Leave This Blank:


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

    This field is not part of the form submission.

27. Submit

* indicates a required field