Form Center

2. Broadview Heights Parks and Recreation Department will accept refund request forms for the following circumstances:

   ANNUAL MEMBERSHIP - MONTHLY INSTALLMENTS

   • If a member wishes to cancel the remainder of their annual membership monthly installments, the request must be made 5 DAYS prior to the next payment. Monthly cancellations can only be done for the entire household membership, additional household memberships cannot be cancelled individually. Cancellations for memberships can only be requested once in a 12 month period.

   ANNUAL MEMBERSHIP - PAID IN FULL

   Annual Memberships paid in full are non-refundable and non-transferable. Except in the following cases: 

   • Medical reason and must be accompanied by a note from the participant’s physician.
   • Verified re-location of more than 25 miles from the recreation center.

   Email additional documents to cspera@broadview-heights.org.

   CLASS/PROGRAM REFUND

   • If the Recreation Department cancels a class or program, each participant will receive a full refund.
   • If a participant wishes to cancel or transfer their enrollment in a program: The request must be made 5 DAYS prior to the start of class or before the registration deadline for sports.
   • Group Exercise Passes and Child Watch Passes are non-refundable and non-transferable. Except in the following cases:

   Medical reason and must be accompanied by a note from the participant’s physician.

   Verified re-location of more than 25 miles from the recreation center.

   Email additional documents to cspera@broadview-heights.org.

4. Participant Information
6. Member or Participant Name*
8. Name of person making request (if different than above)
10. Address*
11. City*
12. Zip*
14. Phone #*
15. E-mail*
17. Refund/Transfer Information
19. Program Name*
21. Date of Request
23. Select One

    1. Refund
    2. Transfer
25. Transfer To:

    If applicable. 

27. Reason for refund request*
29. Cancellation / Refund Request Options*

    1. Cancel Remaining Annual Membership Monthly Installments: I understand this request must be made at least 5 days before the next payment date and can only be cancelled once per 12 month period.
    2. Cancel from a Program: Full Household Credit. No fees will be applied.
    3. Cancel from a Program: Refund Check: I understand a $5.00 processing fee will be applied and will be deducted from the check.
    4. Cancel from a Program: Refund to Credit Card: I understand a $5.00 processing fee will be applied and will be deducted from the refund.

    Refunds will be processed in the same manner in which you originally paid.

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field