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  1. REFUND REQUEST FORM MUST BE SUBMITTED AT LEAST FIVE (5) BUSINESS DAYS PRIOR TO EVENT/ACTIVITY
  2. Refund request approval or denial will be sent to this address.
  3. I am requesting a refund for:*
  4. If applicable
  5. Please describe the medical reason or extraordinary circumstances causing a need for refund
  6. Supporting Documentation*
  7. Leave This Blank:

  8. This field is not part of the form submission.