Swim Lessons Cancellation Form Please complete this form to send a cancellation request for swim lessons undertaken at MLC School 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 Seals Dolphins Mini Squad Marlins Sharks Novice Squad Metro Development State Squad Performance Squad All Stars Squad Masters Squad Senior As Senior Bs Senior Cs Adult Beginners Adult Intermediate Day/s of the week* - required Monday Tuesday Wednesday Thursday Friday Saturday Sunday Time (hour)* - 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. Cancellation Date* - required Please share with us your reason for cancelling lessons. Reason - Break/holiday Contact with level reached Financial reasons Issue with class or teacher Issue with facility Medical reasons Moving levels Moving out of area Moving to competitor pool Other commitments Removal of additional class Winter/too cold Other - please provide reason below Other reason Reason* - required Medical Cancellation A medical certificate is required for all cancellation requests submitted for medical reasons. Please upload a relevant medical certificate (or a clear photo of the certificate), such as hospital discharge papers or a specialist’s medical certificate.Please note: medical cancellations can only be approved for injuries or illnesses lasting four weeks or longer. We are unable to backdate any medical cancellations. Medical Certificate* - required If your child will be returning to the program, please provide us with an estimated return date.Please note: you will need to contact our customer service team to be re-enrolled into the program, or if additional time is required for recovery. Return Date Confirmation I acknowledge that by submitting the cancellation request, all remaining make-up vouchers become inactive, as I will no longer have a booking. I acknowledge that these vouchers will only be available for use if I am booked back into the program within the same calendar year* - 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 *