Summer Camp Withdrawal and Transfer Request

Summer Camp Withdrawal/Transfer Request Form
Campers enrolled through payment in full must submit any transfer or withdrawal requests no later than 5:00 pm, Wednesday, 2 weeks prior to the start of the camp week. Campers enrolled through a payment plan must submit any transfer or withdrawal requests by May 16. The first three (3) approved transfer requests are free of charge. Any additional approved transfer requests will have a $10 service fee per transaction. All approved withdrawal requests will have a $25 service fee per transaction.

Please allow up to 5-7 business days for request review to be completed.
Campers Name*

First NameLast Name
Requester's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your child currently receiving accommodations via NWSRA?*

YesNo
Email*
(For request communications/receipts)
Request Type*

Transfer (The first three (3) approved transfer requests are free of charge. Any additional approved transfer requests will have a $10 service fee per transaction).Cancellation ($25 Cancellation Fee)

Cancellation Information

Type Program Name and Code that you wish to cancel
Camp Name*
Camp Dates*
Transfer Information

Type Program Name and Code that you wish to transfer out of and into
Transfer Out: Camp Name*
Transfer Out Camp Date*
Transfer Out: Camp Code*
Transfer In: Camp Name*
Transfer In Camp Date*
Transfer In: Camp Code*
Reason for Withdrawal/Transfer*
Refund Type Request ($25 Transaction Processing Fee).*

Refund to Original Form of PaymentHousehold Credit
TRANSFER TRANSACTION FEE:

The first three (3) approved transfer requests are free of charge. Any additional approved transfer requests will have a $10 service fee per transaction.
WITHDRAWAL

If your withdrawal request is approved, you will receive an email receipt confirmation from frontdesk@wheelingparkdistrict.com. If there are questions or issues regarding your cancellation request, you will be contacted via the provided email address.
TRANSFER

If your request is approved, you will be refunded or charged any price difference via the payment method used at the time of enrollment and will receive a confirmation receipt from frontdesk@wheelingparkdistrict.com.

If your approved transfer requires additional payment and the linked payment method is not able to be collected, the transfer will not be confirmed until payment is received. You will be emailed and/or called with a payment deadline. If payment is not made by the deadline, the transfer will be declined.
Please verify that you are human*
Should be Empty:

Summer Camp Withdrawal/Transfer Request Form