Portside Boulders - Membership Suspension Request
All members may now suspend their memberships for up to 12 weeks per calendar year at no cost! Memberships can be suspended by increments of 7 days. Please submit your suspension requests at least 3 days in advance.
Email oconnor@portsideboulders.com.au, osbornepark@portsideboulders.com.au, or willetton@portsideboulders.com.au if you have any further questions! Exceptions for FIFO members apply; please email us if you would like to be considered for a FIFO membership.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Where did you sign up for your membership? (If you don't remember, give us your best guess!)
*
O'Connor
Osborne Park
Willetton
Start Date for Approach
Start Date
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Day
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Month
Year
DATE PICKER CALC
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Month
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Day
Year
Date
CALC 2 - REMINDER
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Month
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Day
Year
Date
How many weeks would you like to suspend for?
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Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Open-Ended - Injury (Medical note or similar evidence required below)
If your suspension is medically related, please attach a letter or other proof of injury from your doctor.
*
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Choose a file
Cancel
of
End Date
*
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Day
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Month
Year
Submit
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