Terms and Conditions of Cancellation Policy*

• Evergreen Park & Recreation District requires a 30-day notice for all monthly facility passes to be cancelled; meaning an additional payment will be taken if this request is submitted after the first of the month.
• If you have not met the minimum requirement of 3 full months of payments, additional payments will be taken to equal 3 months of payment in full, prior to the cancellation of the pass.
• Any past due amounts will be collected at the time of the final payment.

Terms & Conditions Acknowledgment (required)

I have read, understand and agree to the terms and conditions of the cancellation policy listed above.

Which type of monthly pass are you cancelling? (required)-- Select an option --YouthAdultMilitary/SeniorCouples - AdultCouples - Military/SeniorFamily of FourFamily of Four - Military

Name of person completing cancellation form (required)

List of all other additional pass holders (if applicable)

Email (required)

Primary Phone (required)

Reason for Cancellation

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Please read and acknowledge the following statements (acceptance required)

Acceptance Required (required)

I acknowledge I may be charged the next monthly payment, as it is required to give 30 days notice of cancellation.

Acceptance Required (required)

I understand by cancelling my monthly facility pass, I and all other pass holders will be subject to fill out a new facility pass agreement in person at either Buchanan Park or Wulf Rec Center.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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