Program Refund Request Form

Lorena Smalley July 25, 2023

Refunds for registered programs and presentations are issued for medical reasons only. The refund request, along with a doctor's note, must be received by the WSAC Program Department prior to the class start date in order to be considered.

Please fill this form and then the program team will contact you later!

Submission Date(Required)

Name(Required)

First Last

Phone(Required)

Reason For Request(Required)

Program Name(Required)

Click the "+" on the right side to add more rolls if you have more than one class that needs refunds.

Program Dates(Required)

Click the "+" on the right side to add more rolls if you have more than one class that needs refunds.

Date That Program Was Originally Purchased

Method Of Payment When Program Was Purchased

If the program was paid by credit card, please include the last 4 digits of the card number so that the payment can be refunded to the card

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Program Refund Request Form

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