Member Name
Mailing Address Telephone Number
Zip
STEP 1
Yes No
STEP 2
Reason for the return:
Payments to the District are subject to the following refund policies:
STEP 3
City State Zip
Refund
Partial Refund
Non-Refundable
Email
REFUND INFORMATION
Activity/Program Description
ORIGINAL TRANSACTION INFORMATION
Original Transaction Date
Original Payment Amount
Department Code #1
Department Code #2
Supervisor Approval
Approval Date
Finance Approval
Approval Date
1. Punch cards and one (1) month passes are non-refundable.
2. Refunds on all other passes will be pro-rated for time used, according to the highest applicable fee. If the amount credited is applied to a credit card, an
administrative fee will be charged.
3. Only annual passes may be frozen. An annual pass holder may freeze the pass for one (1) time only for a minimum of two (2) weeks. Advanced notice is
required.
4. Adult fitness class refunds will be at the discretion of the instructor.
5. Adult team sports refunds: Before the schedules are set, the District will provide a full refund minus the administrative fee. After the schedule is complete, a fifty
percent (50%) refund will be given. Once the season has begun, no refunds will be allowed.
6. For Field rental refund policies; see applicable facility use agreement form.
Mailing Address
ATTN
Telephone Number
▬▬▬▬▬▬▬ADMINISTRATIVE USE ONLY▬▬▬▬▬▬▬
PAYMENT INSTRUCTIONS
Payment Type
Scholarship
Refund Method: The requested refund will be provided to the participant in the
same payment type as the payment was intitally received. Credit card refunds will
take 5-7 business days to post and checks will take approximately two weeks to
process.
Recreation Program General Refund Policy: Unless specifically provided below, refunds will be given if notice of cancellation is provided seven (7) or more business days
prior to the first day of a program. All refunds, including but not limited to those for special circumstances and field trips, are subject to an administrative fee. Programs
cancelled by the District will be refunded in full.
Special Circumstance Refund Policy: If a participant cannot attend or continue an activity due to an illness or an extraordinary circumstance, a pro-rated refund may be
granted at the discretion of the program coordinator.
Field Trip Camp Cancellation Policy: Due to the costs incurred by the District for field trips, if a participant cancels within 14 days of the field trip, he/she is responsible for
entire activity cost. However, should the District fill the participant’s space, participant will receive a full refund minus the administrative fee. If a participant cannot attend
or continue an activity due to an illness or an extraordinary circumstance, a refund will be given at the discretion of the camp director.
Field House Passes/Classes/Team Sports Refund Policy:
REFUND POLICIES:
Date of Request
Instructions: Please save this document on your desktop. Click email address to send:
contactus@basinrecreation.org
$
City
State
Snyderville Basin Special Recreation District
5715 Trailside Drive
Park City, Utah 84098
435.649.1564 (p) 435.649.1567 (f)
Participant/Member Refund Request
Refund
Amount
2101
Sales Tax
Admin
Fee
Total
Refund