Aquatics Refund RequestS 61 ane
Walley
Parks and Recreation
2426 N. Discovery PL,
Spokane valley, WA 99216; 688 -0300
Today's Date:
Parent Name:
Participant Name:
Address:
City /State:
Phone No:
Zip:
Refund requested for (lessons& level, swim team etc.):_
Reason for refund:
Additional information:
Total Amount of Refund Requested: $
• Return form to:
City of Spokane Malley Parks and Recreation Department
2426 N. Discovery Place
Spokane Malley, WA 99216.
• If you have any questions regarding this refund please call 509 - 688 -0300
Incomplete information may delay the refund process, please take the
time to complete the entire form*
Parks & Recreation Director
❑ Approved
❑ Denied
AQUATICS REFUND REQUEST
I'••
Date
Accounting Info: