Please note suspensions are unable to be back dated
In this situation make up classes would need to be taken
Your Name
*
First Name
Surname
Contact Number
*
Email
*
example@example.com
Reason for Membership Suspension
*
Please Select
Holiday
Work/Business
Recovering Injury
Other Medical
Other Reason
Will you be travelling internationally?
*
Please Select
Yes
No
If travelling internationally, what countries will you be visiting?
How many memberships are you wanting to suspend?
*
Please Select
Individual Membership Suspension
Family Membership (please complete a suspension for each student)
Student's Name (If not the person completing this form)
First Name
Last Name
Membership Type
*
Direct Debit (Debited Weekly)
Direct Debit (Debited Fortnightly)
3 Months Upfront
6 Months Upfront
12 Months Upfront
Term Fees (Medical Suspensions Only)
Unsure
Membership Suspension Start Date
*
/
Day
/
Month
Year
This is the first day you are not able to attend classes. Suspensions cannot be backdated. Please enter date in DD/MM/YYYY format eg 01/12/1999
Membership Suspension End Date
*
/
Day
/
Month
Year
This is the final date you will not be able to attend classes. Please enter date in DD/MM/YYYY format eg 01/12/1999: NOTE: Suspensions must be requested for a minimum of 2 week blocks as per the Membership Suspension conditions.
Number of Weeks
*
Please upload any supporting document here
Browse Files
Drag and drop files here
Choose a file
(Medical certificate, Travel Document, etc)
Cancel
of
Conditions of Membership Suspensions:
Please read carefully as charges may apply
Membership suspension requests are permitted only for students who have their account fees up to date prior to the suspension start date.
Members are required to submit a suspension request a minimum of 14 days prior to the suspension beginning date to avoid delays in processing the request before invoices are issued or Direct Debit payments are debited. Suspension requests received within 7 days of the date requested to be suspended will be subject to a $15.00 suspension processing fee.
Direct Debit Memberships can be suspended with a minimum of 2 weeks at a time and a maximum of 4 weeks per calendar year at no charge. Direct Debit Memberships will have debits paused for the total number of weeks requested on the suspended. Payments that would be scheduled during the December/January closure period will automatically be paused by the club.
Upfront Memberships (6 & 12 Months Upfront) can be suspended with a minimum of 2 weeks at a time and a maximum of 6 weeks per calendar year at no charge. Your next invoice issued will have the inclusive end date extended based on the number of weeks for your suspension request.
Upfront Memberships (Term Fees) can only be suspended in the case of injury requiring 2 weeks or more absence from training during a school term and a medical certificate covering the full period of the suspension can be provided. Any other reason for suspension with this membership will not be approved. Please schedule and book in makeup classes for any missed lessons.
Memberships suspended for periods longer than the permittable allowance in a 12 month period are charged at $7.50 per week for every week after the maximum number of weeks. This fee is to reserve a place in classes for every week after the permitted allowance and is payable;
Upfront Memberships (6 & 12 Months Upfront):
On the invoice that reflects the suspension and due with the invoice total.
Direct Debit Memberships:
Debited from the nominated account with the last payment before payments are paused for the suspension.
Memberships suspended for medical reasons will not count towards the permittable suspension period if a medical certificate that covers all requested dates of suspension is provided.
All medical suspensions are free of charge upon presentation of a valid medical certificate that covers all requested dates of suspension.
Membership suspensions cannot be back dated.
Please refer to the latest Membership Agreement for more information regarding membership suspensions.
Member's Signature
Date Signed
/
Day
/
Month
Year
Date
Submit
OFFICE USE ONLY
Processed By Staff Member
First Name
Last Name
DIRECT DEBIT: Vary payment suspension effective date
/
Day
/
Month
Year
DIRECT DEBIT: Vary payment resume date
/
Day
/
Month
Year
UPFRONT MEMBERSHIP: Next fee cycle original due date
/
Day
/
Month
Year
UPFRONT MEMBERSHIP: Next fee cycle new due date
/
Day
/
Month
Year
UPFRONT MEMBERSHIP:
Update new due date in QB - YYYY/MM/DD
UPDATE NOTES IN QB:
DD & UF: Suspension dates
DD & UF: Original due date
DD & UF: QB: New due date
DD & UF: Number of weeks suspended
DD & UF: Suspension tally
SUSPENSION CHARGES:
DD: Processed via Ezidebit or Paysmart
UF: Updated invoice and emailed to Member
Do not apply to this suspension
Date Processed
/
Day
/
Month
Year
Approver Signature
Should be Empty: