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Fall 2023 Enjoy

City of Palo Alto, Fall 2023 class programming

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Withdraw and Transfer Request Form<br />

Staff initials:<br />

Date received:<br />

Primary Contact Full Name:<br />

Primary Contact E-Mail:<br />

Phone Number:<br />

Address:<br />

Signature<br />

Approving<br />

Request:<br />

Date:<br />

(Participant name, if different from Primary Contact, will be noted below)<br />

Program Withdrawal Request<br />

If you need to withdraw, please let us know within the respective withdrawal window for that program (see<br />

reverse). We will place a credit on your account that can be applied to another course. If you prefer to<br />

receive a credit card refund, a $15 processing charge will be deducted from each enrollment. Credit card<br />

refunds can only be issued to original card used.<br />

Select one<br />

refund option<br />

Program Session Information<br />

Participants Name Session Code Program Name Start Date<br />

Credit to<br />

<strong>Enjoy</strong>!<br />

Account<br />

Refund to<br />

Credit Card<br />

Program Transfer Request<br />

Participants will have until the end of the first session to transfer to another program. Transfers are subject to space<br />

availability and the customer is responsible for any additional fees incurred. Transfers for late enrollments may not be<br />

permitted.<br />

If the session you are transferring into has a higher cost, please ensure your credit card is saved to your <strong>Enjoy</strong>! Online<br />

Account for expedited service.<br />

Session<br />

Participants Name<br />

Code<br />

Program Name Start Date Cost<br />

Transfer From:<br />

Transfer To:<br />

Session<br />

Participants Name<br />

Code<br />

Program Name Start Date<br />

Cost<br />

Transfer From:<br />

10<br />

Transfer To:

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