Direct debit lesson suspension form

Before applying for a suspension, please review Swim School Terms & Conditions

Direct debit lesson suspension form

Responsible Person

First Name(s)

Surname

Mobile number

Student 1 details

First Name(s)

Surname

Date of Birth

I wish to suspend for more than 1 student

NoYes

Student 2 details

First Name(s)

Surname

Date of Birth

Student 3 details

First Name(s)

Surname

Date of Birth

Suspension date/s

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

View Swim School Terms & Conditions

I understand that Swim School Terms and Conditions apply *

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