SUSPENSION REQUEST FORM

* Submission of the online form marks the point of notice.

*Freezes on membership requires 2 weeks’ notice. If a medical certificate is presented, this 2 week notice is not required.

* Any futher non-medical suspensions will incur a $25 administration fee per family. (Maximum 3 months)

Hold Up!

Are you experiencing any difficulties?

These could include scheduling conflicts, loss of motivation, training slumps, incompatibilities with educational measures, or interpersonal conflicts.

For any issues at all, we are open to listening to what you need and what we can do for you.

Please don’t hesitate to contact Ken or Nicole!

Ken 0431 766 724 / Nicole 0431 532 149

Name

First Name

Last Name

Age

Phone

(###)

###

####

Email

Suspension Period (Start Date)

MM

DD

YYYY

Suspension Period (End Date)

MM

DD

YYYY

Reason for Suspension

Medical Certificate (if you have one)

Please submit it via email or to the reception.