Refund Request Form

Plans Change and We Understand

You may request a withdrawal either by calling (630) 858-2462 during normal registration office hours or by completing the form below. Once you have completed the form, click submit. The Glen Ellyn Park District reserves the right to cancel, postpone, or combine classes or change instructors. A full refund will be issued for any program cancelled by the Park District. For all other refunds, a Refund Request Form must be submitted online.

There will be at minimum a $5.00 cancellation fee assessed for all refunds that are requested. Refunds can take up to 30 days. If you should have any questions regarding the refund, please contact the program supervisor of the class for which you are requesting the refund. Inquiries can be directed to (630) 858-2462.

Request a Refund

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

Participant Name*
First Last
Program Name*
Program Code*
Program Start Date
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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