Refund Request Form Question Title * 1. .Please enter the following informaiton Name Address City/Town ZIP/Postal Code Email Address Phone Number Question Title * 2. Please provide the participant's information to help us locate the program you are requesting a refund? Participant Name Program Dates Held Times Held Refund Amount Requested Question Title * 3. What is your reasoning for receiving the request? Question Title * 4. I have read Policy 320 Administration and Refunds Yes No(If not, please view Policy 220 Admissions and Refunds on the Mount Rainier Pool website (mtrainierpool.com) or click this link to view the policy https://mtrainierpool.com/wp-content/uploads/FINAL-DMPMPD-320-Admissions-and-Refunds.pdf) REFUND PROCESS: Staff may take five (5) business days to make a decision and up to an additional 21 days to process and mail a check. Credit card refunds will be issued back to the card the charges were made upon, and no transfers are available to other cards or addresses that are not listed on their account. Thank you for taking the time to complete this survey and we hope to be in touch soon.District Management Done