Withdrawal/Transfer Request Form

Fax: 905-427-3821
Email: ActiveAjax@ajax.ca

Ajax CC: 905-427-8811          Audley RC: 905-427-2468        McLean CC: 905-428-7711

Please note: your request is effective as of the date of submission of this form.

Withdrawal requests must be made in writing 48 hours prior to the 2nd scheduled class with the following exceptions:

  • summer aquatics, where requests for a refund can be made after the first class on the first day only
  • summer camps, where requests for a refund must be made prior to camp start date. Note: the Administrative Fee is not applied to withdrawals from Before/After Care. 

No refunds or credits will be considered after this period. Please note that submission of a form does not guarantee that a refund will be issued, and non-attendance at a program does not constitute a notice of withdrawal. 

Transfers will be accommodated based on availability. General program and aquatic transfers can occur at any time. Transfers into level-based activities such as karate, arts and yoga will be granted before the 3rd scheduled class.

WITHDRAW

Subject to a $10.00 + HST Administrative Fee
(per person, per program: max $20.00)

 

TRANSFER

Subject to a $10.00 + HST Administrative Fee
(per person, per program: max $20.00)

 

WITHDRAWAL & TRANSFER POLICY

Your refund will be processed based on the method of payment at the time of registration:

  • If original payment made by Cash or Cheque, refund by Cheque
  • If original payment made by Debit Card, refund by Debit Card or Cheque
  • If original payment made by VISA, MasterCard or AMEX, refund back to same Credit Card

GENERAL PROGRAMS & AQUATIC LESSONS:
Withdrawal requests must be made in writing on the Withdrawal/Transfer Request Form 48 hours prior to the 2nd scheduled class, or a refund will not be issued, with the following exceptions:

  • Summer Camps: A request for refund must be received before the camp begins. Note: the Administrative Fee is not applied to withdrawals from Before/After Care.
  • Summer Aquatics: A request for a refund can be made after the first class on the first day only.
  • Medical Refunds: A refund for medical reasons will be issued by a doctor's note or prescription receipt only and will be issued as of the date we receive the note/receipt.
  • Refunds are calculated based on the date the  Withdrawal/Transfer Request Form is received and subject to a $10.00 + HST Administrative Fee per person, per program (max. $20.00)
  • If Recreation, Culture & Community Development cancels a program, including programs that fail to meet minimum enrollment, you will be notified just prior to the course start date. At this time you have the option to switch to another program or receive a full refund or account credit. 
  • Classes are subject to cancellation due to holidays, facility availability, etc.  Where possible, cancellations are noted in the guide and on the program confirmation/receipt. Every attempt is made to re-schedule cancelled classes. 

NOTE:

  • First Aid programs, Aquatic Leadership, Private, Low-Ratio and Adapted Lessons: Refund requests must be made in writing no later than 24 hours prior to the start of the first class. A refund will not be issued once the class starts. A $10.00 + HST Administrative Fee per person, per program applies. 

ACTIVITY TRANSFERS:

  • Transfers will be accommodated based on availability and are subject to a $10.00 + HST Administrative Fee per person, per program (max. $20.00).
  • General program and aquatic transfers can occur at any time. Transfers into level-based activities such as karate, arts and yoga will be granted before the third scheduled class.

 

PLEASE CHECK BOX TO ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THE TOWN OF AJAX'S WITHDRAWAL & TRANSFER POLICY

Collection of Personal Information

Personal information collected on this form is collected pursuant to the Municipal Act, 2001, s. 11(1), and will only be used for the purpose for which it is collected, and will not be distributed or used by the Town of Ajax for any other purpose. Questions about this collection may be directed to the Town of Ajax Records and Freedom of Information Coordinator at 65 Harwood Avenue South, Ajax, Ontario, L1S 2H9 or 905-683-4550.

Learn more about the Town of Ajax's Privacy Policy.

Accessibility

If you require this form in an alternative format, please contact the Town of Ajax Accessibility Coordinator, at 905-683-4550, or by e-mail at contactus@ajax.ca.