Refund Request Form

Plans Change and We Understand

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. A service charge of $5 or more may apply, and some programs, events, and services are non-refundable. Refunds can take up to 30 days. Please note that the Glen Ellyn Park District reserves the right to cancel, postpone, or combine classes, or change instructors. In such cases, a full refund will be issued.

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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