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2. Camp Withdrawal Policy:

   Participants wishing to withdraw/transfer from a camp must complete this form and submit it online or to the Summit on the Park 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 prior will not be considered. 

   • If approved, participant will receive a Leisure Services Credit on Account which may be used for Leisure Services camps, classes, programs and memberships (excludes Village Theater shows, Pheasant Run Golf Club services, 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 camp, 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. Cancellation Fees:
   • Camp Canton: $50 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. Program Withdrawal Policy:

   Participants wishing to withdraw/transfer from a program must complete this form and submit it online or to the Summit on the Park Front Desk at least seven (7) days prior to the start of the program you are requesting to withdraw from. Requests submitted less than seven (7) days prior will not be considered. 

   • If approved, participant will receive a Leisure Services Credit on Account which may be used for Leisure Services camps, classes, programs, and memberships (excludes Village Theater shows, Pheasant Run Golf Club services, and Softball Leagues).
   • No cash or credit card refunds will be issued, unless program is cancelled by Leisure Services. 
   • Deposits will not be refunded, regardless if refund for the program is approved.
   • Participants requesting to transfer from one program to another must comply with the Withdrawal Policy and then request to be enrolled in the new program, 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. 
8. Membership Cancellation Policy:
   • Memberships are non-transferable and non-refundable.
   • Requests for a refund due to medical reasons will be considered only if a doctor’s note is provided.
   • Cancelled monthly memberships will expire and become effectively cancelled at the end of that current month.
   • Fees for early termination are the equivalent of two months of membership dues, which will be charged at the time of membership cancelation processing. 
10. Satisfaction Policy:

    Canton Leisure Services is committed to providing the highest quality camps, programs and memberships for the Canton Community. If after purchasing a camp or program and you are not satisfied with the level of service and/or quality, you may complete this form. All requests must be made within seven (7) days after the completion of the camp, or program. 

    • All approved requests will receive a refund via original method of payment (credit card or credit on account). Credit on Accounts may be used for Leisure Services classes, programs and memberships (excludes Village Theater shows, Pheasant Run Golf Club services, and Softball Leagues).
    • Leisure Services reserves the right to modify this policy.
12. I HAVE READ AND UNDERSTAND THE SATISFACTION/WITHDRAWAL POLICY*

    1. Yes
    2. No
14. Participant Name *
15. Date*
    Date
17. Participant/Guardian Name (if participant is a minor)
19. Home Phone
20. Cell/Work Phone
22. Email Address*
24. Address1*
26. City*
27. State
28. Zip
30. Type of Withdrawal: (please select one)*

    1. Camp
    2. Program
    3. Membership
32. Name of Camp, Program, or Membership:*
34. Camp Day or Week of Requested Refund:
35. Activity Code:
37. I am requesting Leisure Services Credit on Account for (select one):*

    1. Program Withdrawal
    2. Program Satisfaction
39. Please explain why you are requesting a Withdrawal or were not satisfied with a camp, program, or membership: *
41. Terms of Acceptance:*

    1. Yes
    2. No

    I understand that by checking this box, I am certifying that this is my submission and signature and that I have read and hereby agree to the above Terms of Acceptance.

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

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