Online Credit Request Form

Fill out a Credit Request form Online:

Parent / payee name (required)

Full mailing address (required)

Phone number (required)

Email (required)

First participant's name (required)

Date of birth (required)

Activity (required)

Class code

Start date

Amount paid

Second participant's name

Date of birth

Activity

Class code

Start date

Amount paid

Reason for credit request (required)

Explanation (required)

Total credit requested (required)

I understand that ALL Credit Request Forms are due PRIOR to the First Day of the Program. Aquatics and Health & Safety: Requests are due 72 hours prior to the first day of program. Daycare and Preschool Programs: No tuition credit for days not attended. All deposits nonrefundable. (required)

Yes, I understand

I understand that all customer initiated refund requests that are approved will be granted SRPD Credit. (required)

Yes, I understand

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If you would rather save a PDF to email in please click here to download a printable PDF of the SRPD Credit Request Form.

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