Victoria Point Program Suspension

Victoria Point Program Suspension
Account Holder: *

First Name Last Name
Email *
example@example.com
Mobile *
Child 1 Name: *
Child 2 Name:
Child 3 Name:
Type of Membership: *

Direct Debit Upfront Payment
Suspension Start Date *

Day Month Year
Date
Suspension End Date *

Day Month Year
Date
Reason for Suspension *
Terms and Conditions
Suspensions cannot be backdated, so exact dates should be provided 2 weeks prior to your absence, Classes will restart automatically at the end of your suspension period requested.
I understand and agree with the terms and conditions above: *

I agree
Should be Empty:

Terms and Conditions