Camp Addition / Change Form - Ymca Of Metropolitan Washington Page 2
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2Camp Cancellation Form
YMCA of Metropolitan Washington
Section 1: Parent Information
Parent/Guardian Name: __________________________________________________________
Member Number: _________________________
Address: ___________________________________________________________________________
Apartment #: _____________________________
City:_____________________________________________________
State: ____________________________
Zip: _______________________________
Email: ____________________________________________
Primary Phone: ________________________
Cell Phone: ______________________
Section 2: Refund & Cancellation Information
Refund & Cancellation Policy: If fees have been paid and cancellation is made two weeks before the start of camp session, the balance will be
returned less the deposit. If fees have been paid out but cancellation is made less than two weeks before the start of the camp session, the
fees will be returned less the deposit and 20% of the total camp fee.
Check/Cash Refund: If you paid by check/cash or your camp payments were made through EFT draft from a checking or a saving account, it
takes 4-6 weeks from the date of this form to receive your refund in the mail.
Credit Card Refund: If you paid by credit card or your camp payments were made through EFT draft from a credit card account, it takes 1-2
weeks from the date of this form to receive your refund on your credit card statement.
Section 3: Exit Interview
1. Why did you choose to cancel your camp?
(please check all that apply)
Location – Moved, no longer near where I live
Dissatisfied with cleanliness of camp site
Location – Changed jobs, no longer close to work
Dissatisfied with conditions of camp site
Location – No longer convenient
Dissatisfied with conditions of equipment
Location – Transferring to another YMCA
Dissatisfied with quality of program
Financial – In between jobs
Dissatisfied with quality of staff service
Financial – Too expensive
Health Reasons
Lost motivation/ Interest
2. From the reasons you selected above, what is your MAJOR reasoning for canceling? _________________________________________________
3. What was the major reason for joining the YMCA camp program? _______________________________________________________________________
4. Would you refer a friend or family member to the YMCA camp program?
Yes
No
5. Lastly, if you ran the YMCA camp program, what would you do differently? ____________________________________________________________
_____________________________________________________________________________________________________________________________ ____________________________
Section 4: Camp Information
Child’s Name:_____________________________________
Name of Camp:_______________________________
Week of Camp:____________
Child’s Name:_____________________________________
Name of Camp:_______________________________
Week of Camp:____________
Child’s Name:_____________________________________
Name of Camp:_______________________________
Week of Camp:____________
Child’s Name:_____________________________________
Name of Camp:_______________________________
Week of Camp:____________
I have read and agree to the terms & conditions of the Cancellation Policy and Check Refund Policy listed above.
Parent/Guardian Signature: _________________________________________________________
Date: ________________________
OFFICE USE ONLY:
Accepted By:____________________________________________________________________
Date: _______________________
Processed By: __________________________________________________________________
Date: _______________________
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