AHC Refund Request Form

Summer Camp Refund Request

Scouts Name Scouts Name First Last
Troop / Pack number
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent Name Parent Name First Last
Phone Phone - ### - ### ####
Email
Week attended camp
Reason for refund
Upload supporting documentation

Attach Files
• All requests will be subject to a $100 cancellation fee.
• All requests must have the Unit Leader’s approval to verify payments.
• Requests for refunds received after September 1 will not be considered.
• Approved refunds will be returned to the unit.
• All refund requests must have supporting documentation of cancellation reason.
THE ONLY VALID REASON FOR A REFUND ARE AS FOLLOWS:
1. Illness of Scout prevents his attendance at summer camp (doctor's note required)
2. Illness or death in the camper’s immediate family prevents his attendance at
camp.(documentation required)
3. Family relocation making attending camp impractical.(documentation required)
4. Mandatory attendance at summer school that is verifiable (Must include documentation)

This is the description of your section break.
Draw your signature into the box below to accept the terms above

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.