Refund Request Form

As part of our commitment to continually improving the programs and services we offer, the Glen Ellyn Park District has recently updated our refund policy, which can be viewed here. This updated policy will go into effect on January 1, 2026. Withdrawal and refund requests can be made by calling (630) 942-7280 or emailing [email protected] during normal registration office hours, or by completing the form below.

Request a Refund

Please fill out this form if you need to cancel your activity registration and would like a refund.

Participant Name*
First Last
Program Name*
Program Code*
Program Start Date
Month
Day
Year
Contact Name*
First Last
Email*
Phone*
Reason for Cancellation or Withdrawal*
Mark One:*
- Apply as a credit on my household account for future use
- Refund in the form of a check
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