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2. Type of Request*
   -- Select One --Park Reservations Indoor Facility Rentals Class/Program Registrations

   Please select which request you are submitting.

3. Today's Date:*
   Today's Date:

   Today's Date:
4. Park Reservation, Rental, Class Date:*
   Park Reservation, Rental, Class Date:

   Please select the date of your park reservation, facility rental, or class start date, and Time.

6. Name*

   This is the name of the person who is the main account holder.

7. Email Address

   Only enter an email address that we may communicate with you about this matter.

9. Address*

   This is the address on the account.

11. City*
12. State*
13. Zip Code*
15. Phone Number*

    Please only leave a number you are okay with us leaving a message on regarding this matter.

17. Permit, or Class Number*

    If you booked a park or indoor facility reservation you will have a permit #. You can find this on your receipt/permit you were given or emailed on the date you booked your reservation. 

    If you registered for a class/program you will have a class #. You can find this on the receipt you were given or emailed on the day you registered. 

    If you can not find this please call the Recreation Center for assistance. 209-538-5628 

18. Reason for Request*

    Briefly tell us why you want to cancel, reschedule, or transfer. 

19. Participant Name

    This field is only for Class or Program requests. We need to know who is actually registered. 

20. Reschedule or Transfer Information

    If applicable: Please list the reschedule dates desired or the new class you would like to transfer to. 

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit Submit and Print

* indicates a required field