Responsible Person Full Name

Location

Email

Mobile Phone

The above details are used to find your membership account. If they do not match what our records it could delay your request for cancellation.

Student #1 Full Name

Student #2 Full Name

Student #3 Full Name

Cancellation Reason

Cancellation feedback

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Swimming lesson cancellation terms

I agree to the following terms of cancellation: The Centre requires 14 days written notice of cancellation, which means one more direct debit will be charged after the cancellation request form is submitted. Therefore, you will have 2-3 more lessons after notice of cancellation is submitted (your last lesson date will be confirmed with you). All outstanding fees must be paid in full prior to cancellation, and any credits or make-up classes on your account are non-refundable. We will always respond and confirm your cancellation (a copy of this submission is emailed to email address entered on this form and we suggest you keep this for your records).

Purruna Spencer Newton Centre

Cancellation Request

Swimming lesson cancellation terms