If you are wanting to submit a request to withdraw from an activity or transfer to another activity, please fill out and submit the online form below.  This request should be submitted as least seven (7) business days in advance of the activity start date.  Your request will be directed to the Coordinator/facility responsible for the activity.  If you are looking for a more immediate response please contact the Coordinator/facility overseeing the activity directly.

Please note requests are subject to review for approval and may take up to several business days.  Any approved requests may be subject to a refund fee.  If you have any questions you may contact the City of Tempe Parks and Recreation Division at 480-350-5200.  If you know the Coordinator or facility responsible for the activity that will help direct your call to the right location.

 

 

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1

Are you requesting a withdrawal/transfer for yourself or on behalf of someone else?

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Are you requesting a withdrawal/transfer for yourself or on behalf of someone else?(Select an Answer) For myself For someone else Both

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2

If requesting on behalf of someone else, please describe the nature of your relationship to the registered participant(s):

If requesting on behalf of someone else, please describe the nature of your relationship to the registered participant(s):

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3

Please provide your current address and contact information:

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Please provide your current address and contact information:

First and Last Name

Street address

Unit #

City

State(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip code

Phone number

E-mail address

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4

Enter each request for withdrawal and transfer below:

	Participant first and last name	Activity name to withdraw from	Activity code to withdraw from	Activity name to transfer into (leave blank if you don't want to transfer into another activity)	Activity code to transfer into (leave blank if you don't want to transfer into another activity)	Reason for the withdrawal/transfer request?
Request #1	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:
Request #2	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:
Request #3	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:
Request #4	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:
Request #5	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:	Enter each request for withdrawal and transfer below:

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5

If you are requesting a withdrawal and refund please select if you would like to have the refund issued back to the original form of payment or if you would like to receive a credit on your account to be used for a future registration.  These requests are subject to Coordinator approval.

Refunds to a credit card can take up to 5-7 business days to reflect on your credit card statement.  Original payments done using cash or credit on an account will be issued back via a check refund and can take up to two weeks to process and mail out.  Credits issued to your City of Tempe ActiveNet account are available for use with future online registrations and transactions at https://activenet.active.com/tempeopportunities.

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If you are requesting a withdrawal and refund please select if you would like to have the refund issued back to the original form of payment or if you would like to receive a credit on your account to be used for a future registration. These requests are subject to Coordinator approval. Refunds to a credit card can take up to 5-7 business days to reflect on your credit card statement. Original payments done using cash or credit on an account will be issued back via a check refund and can take up to two weeks to process and mail out. Credits issued to your City of Tempe ActiveNet account are available for use with future online registrations and transactions at https://activenet.active.com/tempeopportunities.(Select an Answer) Issue refund to original form of payment Issue credit to my account for future use

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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