Swim Lessons Cancellation Form Please complete this form to send a cancellation request for swim lessons undertaken at ÌÇÐÄlogoÃ×·ÆÍà Aquatic Centre.
Parent/Carer Details Full Name* - required Mobile* - required Email* - required Student Details Student Full Name* - required Date of Birth* - required Cancellation Request Class/Level* - required Aquababies Turtles Jellyfish Starfish Octopus Seahorse Senior A Seals Dolphins Mini Squad Senior B Senior C Private Lessons Marlins Sharks Novice Squad All Stars Squad Adult Beginner Adult Intermediate Masters Squad Metro Development State Squad Performance Squad Day/s of the week* - required Monday Tuesday Wednesday Thursday Friday Saturday Sunday Time (hour)* - required 1 2 3 4 5 6 7 8 9 10 11 12 Time (min)* - required 00 15 30 45 Time (AM/PM)* - required AM PM Please share with us your reason for cancelling lessons. Reason* - required Please specify the date you would like lessons to stop.Important note: Direct debits occur every second Monday for the fortnight in advance. If cancellation is left late, you run the risk of being charged for the following fortnight. Date* - required Confirmation I acknowledge that by submitting the cancellation request, all remaining make-up vouchers become inactive, as I will no longer have a booking. Should I return in the same calendar year, any existing make-up vouchers will become available for use** - required I acknowledge that cancellations are effective from the start of a new direct debit fortnight and if the cancellation is not completed at least two days prior to the next direct debit date, I could be charged for the fortnight following** - required Mandatory field(s) marked with *