Required fields are marked with asterisks (*)

Program Refund or Transfer/Credit Request or Booking Cancellation

To review your eligibilty for a refund, please visit the links below:

Program Refund/Credit Request Policy (Regular Weekly Programming)
Program Refund/Credit Request Policy - Specialty Program (Specialty/Leadership/Crash Courses - 3 weeks or less/Weekend/Day Camp/1 Day Programs)
Rental Bookings - please refer to your Terms and Conditions

For purposes of refunds, the "Start of the Program" and "Date of Request" refers to the calendar day, and requests must be received at least 24 hours prior to the start of the program.

PLEASE NOTE: A confirmation will be sent to the email included on form - please contact the Town of Essex Recreation & Culture Division at 519-776-7336 ext 1052 if confirmation not recieved.

Date of request

Name of participant:

Name of parent/guardian (if applicable):

Phone number:

Email address: