Class Cancellation Form

Swim School and Activities Cancellation Form

What activity are you cancelling today?*

Swim School Children's Activity Junior Activity Adult Activity

What is the name of the activity or class you would like to cancel?*

What's the last date that the student(s) will attend?

What is the reason for your cancellation?

Despite cancellation at this time, would you still recommend the Mandurah Recreation Centres Swim School to friends and family?

Yes No

Responsible Person's Details

(Please be sure these details are correct in case we need to contact you)

Name*

First Name

Last Name

Phone*

Postal Address*

Address Line 1

Address Line 2

City

State

Postcode

Email*

Confirm Email *

Participants' Details

How many students' enrolments are you cancelling today?*

Student Name*

First Name

Last Name

Student Name*

First Name

Last Name

Student Name*

First Name

Last Name

Student Name*

First Name

Last Name

Student Name*

First Name

Last Name

Preferred Refund Type (if applicable)

Credit on Account - no cancellation fees apply Cheque Refund EFT Refund

A cheque refund can take 2 - 4 weeks to be processed

Account Name:*

Bank:*

BSB:*

Account Number:*

Terms and Conditions

Swim School Cancellations

Cancellation of a direct debit enrolment will not be accepted if any payments are in arrears.

Direct debit cancellations must be submitted at least 14 days prior to the next direct debit date to ensure it can be processed in time.

Note: No credits will be given for classes where the direct debit has already been processed prior to the cancellation form being processed.

I understand

Sports and Activities Cancellations

Any lessons prior to the cancellation form being submitted will not be credited.

Sports and Activities Cancellations

Prior to Week 2

A $25 cancellation fee applies per student.

Any lessons prior to the cancellation form being submitted will not be refunded.

After Week 2

Cancellations will not be accepted unless accompanied by a signed medical certificate.

I understand

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