Online Credit Request FormFill 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 codeStart dateAmount paidSecond participant's nameDate of birthActivityClass codeStart dateAmount paidReason for credit request (required)MedicalSchedule conflictMoved out of areaOtherExplanation (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 understandI understand that all customer initiated refund requests that are approved will be granted SRPD Credit. (required)Yes, I understandThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.If you would rather save a PDF to email in please click here to download a printable PDF of the SRPD Credit Request Form.