Camp Refund/Transfer Request Form

Refund/Transfer Request Form

Refunds are not applicable for camp no-shows or students removed from camp as a disciplinary action. There are no refunds for a partially attended camp. All refunds are less the $50 NON-refundable deposit if requested after the early bird deadline.
Who is the student no longer attending?*

First NameLast Name
Person Requesting Refund*

First NameLast Name
Relationship to Student*
Parent, Pastor, Camp Coordinator, etc.
Email*

Confirmation Emailexample@example.com
Phone Number*
Please enter a valid phone number.
Church Name*
What is the name of the church the student was attending with?
Church City *
What city is the church located in?
Refund requested for which Camp:
Reason(s) for no longer attending:

SicknessCOVID-19Deceased loved oneOther
If "Other" please explain why a student is no longer attending:
Amount Requested as a Refund
Please note that the $50 deposit is NON-refundable if requested after the early bird rate deadline.
Another option is to TRANSFER the funds to another camp attendee. If you would like to do this, please fill out the question below.
Explain in detail who you would like the funds to be transferred to. You can choose more than one person to transfer funds to. Please list their name, which week of camp they are attending and what church they are attending with.
For example, Transfer $50 to John Smith for Kids Camp 1 with Calvary Church in Urbandale and Transfer $145 to Jane Doe for Teen Camp 3 with First Assembly in Newport. Refund any remaining balance.
Original Form of Payment:
Signature

Clear
Should be Empty: