CANCEL Member Form

Camper Membership Cancellation Form
Name*
First Name
Last Name
Old_Name

old_First_Nameold_Last_Name
Email*
Camper Name*
Camp*

Pittsburgh SouthwestPittsburgh NorthPittsburgh Highland ParkPittsburgh East
Today's Date

MonthDayYear
Month your membership will be no longer be active:
Please let you know why you're cancelling.*
As per the terms of the membership agreement, due to bank requirements cancellation requests must be received and dated by the 23rd day of the current month if this month is to be the last month of membership. Cancellations will not be effective until the following month if submitted late. If case of a late cancellation and you are unable to attend daycare the following month you may bank up to 3 weeks daycare days in total on your account and use those days for future daycare or boarding needs (2 daycare=1 boarding). Banked days will expire from your account 1 month after membership becomes inactive. No refunds can be provided for late cancellations.
Signature*
Number Month your membership Hold will begin:
Should be Empty:

Camper Membership Cancellation Form