Request
Who is asking, what was paid, the amount requested and the reason.

FREE REFUND REQUEST FORM
A two-page form that records what is being refunded and why, the evidence, the manager's recommendation and who approved it within their dollar limit, then how and when it was paid.
By Callan, ClubPilot · Updated
Free PDF · Print and adapt · No sign-up required

AT A GLANCE
Who is asking, what was paid, the amount requested and the reason.
Receipts, medical certificates, emails or system records attached and listed.
Recommendation, approval at the right level, payment reference and the date it was closed.
PROTECT BANK DETAILS
Bank details on paper get photographed, emailed and left in trays. Collect them only through your secure payment or membership system, and use the form to record the payment reference.
Submit a refund in under a minute; ClubPilot stores bank details encrypted and routes the request to the right approver.
Open pageSET YOUR LIMITS
Write a dollar limit for each level, such as club manager, area manager and owner. Refunds above a limit go to the next level. It speeds up small refunds and protects the business from large ones.
STRAIGHT ANSWERS
It depends on your membership agreement, the Australian Consumer Law and any state fitness rules. This form records the decision; it does not decide it. Get advice if you are unsure.
Set dollar limits for each role. A club manager might approve small amounts, with larger refunds going to an area manager or the owner.
Record the method, the amount, the date and the payment or transaction reference from your system, not the member's bank details.
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A PRACTICAL NEXT STEP
ClubPilot routes each refund to the right approver with the evidence attached and keeps the decision on record.