Squads direct debit lesson suspension form

Terms & Conditions

All enrolments are perpetual (ongoing) and the direct debit payments will continue until a cancellation form is submitted by the responsible person.
Four (4) weeks notice is required to cease enrolment and the direct debit agreement.
A Lesson Cancellation Form must be completed and submitted to the Swim School in full.
Credits or Refunds will not be granted for missed lessons prior to submitting this form.
Cancellations will not be processed until any outstanding amounts owing are paid in full.
Withdrawal due to medical reasons will be actioned as soon as a completed Lesson Cancellation Form, along with a copy of a medical certificate, is submitted to the Swim School Office.

Squads direct debit lesson suspension form

Responsible Person

First Name(s)

Last name

Mobile number

I wish to cancel for more than 1 swimmer

NoYes

Swimmer 1 details

First Name(s)

Surname

Date of Birth

Swimmer 2 details

First Name(s)

Surname

Date of Birth

Swimmer 3 details

First Name(s)

Surname

Date of Birth

Period of Suspension

Start date

End date

Reason for Suspension

Reason

Medical (I understand a medical certificate must be submitted with this form)Non Medical

More Details

Upload supporting documentation

Terms and Conditions

I accept and understand the Terms and Conditions.

The Aquatic Centre is part of the Sydney Olympic Park Authority. Any personal information that you provide to the Sydney Olympic Park Authority (5 Olympic Boulevard, NSW 2127) will be held in a data base shared with the NSW Department of Planning, Housing and Infrastructure. You have the right to access and correct the information. For full details, you can access our Privacy Policy.