Withdrawal & Transfer Request Form

Please reference https://recreation.ubc.ca/policies for more information on withdrawal, transfer and refund policies.

Submission Details
Reason for Submission*
Please select all that are applicable.
- Withdrawal
- Program Transfer
- Refund
Personal Information
Name of Participant(s)*
For multiple participants within the same account or family, please press the "+" button to add more participants.
First Name Last Name
Account Holder Name (If different from above)
First Last
Email*
Phone*
Course/Program Information
What is the program area?*
- Aquatics
- Fitness & Classes
- Ice
- Intramurals
- Running Events & Triathlon
- Rowing
- Tennis
- Baseball
- Camps
Title of Courses or Programs (please include all courses IDs and programs that you wish to be considered) currently enrolled in.*
Title of Course or Program that you wish to transfer into. Please include the course ID.*
Reason for Refund Request*
- Medical
- Moving Away
- Other
Please include any additional details that you wish to share at this time.

UBC Recreation

Vancouver Campus

6000 Student Union Boulevard

Vancouver, British Columbia Canada V6T1Z1

Tel 604 822 6000

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First Name	Last Name

Submission Details