Hoffman Estates Park District | Hoffman Estates, IL

Select One:*
Request for TransferCancel and Credit Household AccountRefund to Original Form of Payment

Current Program Name*

Program Number*

Section Letter*

Number of Classes Attended*

If transferring to a Program, what Program Number

Reason for Transfer or Cancellation Request*

Family Name*

Household Number (if known)

Name of Registrant*

Street Address*

City

Zip

Phone Number*

Email*

(* = required)
If a transfer results in a balance, I agree for the Hoffman Estates Park District to charge my saved credit card ending in ____ (Please verify the last four digits of card)

By checking the following box you are stating that, in place of your signature, the information provided above is correct to the best of your knowledge. In order to receive a refund, our office must receive your Request for Program Transfer / Cancellation Form at least 24 business hours in advance of the program start date. There is a $5 administration & processing fee for refund requests. After the start of class, all refund requests will be reviewed and pro-rated refunds will be issued if applicable. Full refunds will not be issued, except as outlined in the Satisfaction Guarantee Policy. A household credit will be issued for any refund under $10. Preschool, camps, league deposits, trip or membership payments are considered separately. Please call 847-885-7500 for specific policies. Please allow up to 1 week for processing.