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2. Camp Withdrawal Policy:

   Participants wishing to withdraw/transfer from a camp must complete this form and submit it to the Summit Front Desk at least fourteen (14) days prior to the start of the week or day you are requesting to withdraw from. Requests submitted less than fourteen (14) days will not be considered.

   • If approved, participant will receive a Leisure Services Credit on Account which may be used for Leisure Services classes, programs and memberships (excludes Village Theater shows, Pheasant Run and Softball Leagues).
   • No cash or credit card refunds will be issued, unless camp is cancelled by Leisure Services.
   • Deposits will not be refunded, regardless if refund for the camp is approved.
   • Participants requesting to transfer from one date to another must comply with the Withdrawal Policy and then request to be enrolled in the new class, if space is available (may also require Supervisor approval).
   • Requests for a refund due to medical reasons will be considered at any time if accompanied with a doctor’s note.
   • Leisure Services reserves the right to modify this policy.
   • When appropriate or acceptable, exceptions may be made on a case-by-case basis at the Supervisor's discretion. 

4. Cancellations Fees:

   • Camp Canton: $40 Cancellation Fee Per Week
   • B.L.O.C.K. Stay-Cation: $20 Cancellation Fee Per Week
   • Camp Leisure Club & Camp A.B.L.E.: $15 Cancellation Fee Per Day
   • Canton Activity Crew:$10 Non-Refundable Deposit Per Week, Per AM or PM Session.

     
     

6. I HAVE READ AND UNDERSTAND THE WITHDRAWAL POLICY

   *

   1. Yes
   2. No
8. Participant Name *
9. Date*
   Date
11. Participant/Guardian Name (if participant is a minor)
13. Home Phone
14. Cell/Work Phone
16. Email Address*
18. Address1*
20. City
21. State
22. Zip
24. Name of Camp:*
26. Day or Week of Requested Refund*
28. Please explain why you are requesting a Program Withdrawal from Camp: *
30. I understand that by checking this box, I am certifying that this is my signature, and that I have read and hereby agree to the above Terms of Acceptance.*

    1. Yes
    2. No
34. Date Received by Program Supervisor
    Date Received by Program Supervisor
35. Approved / Denied

    1. Approved
    2. Denied
37. Amount If Approved:
38. Date Credit Place on Account, if Approved:
    Date Credit Place on Account, if Approved:
40. If Denied, Please List Reason:
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field