Webstar’s swim school – Medical suspension request


Please complete this form to request a medical suspension for a Webstar's Swim School membership. You will need to attach a medical certificate issued by a medical practitioner registered by the Australian Health Practitioner Regulation Agency (AHPRA) that states the student’s name and the period of illness or injury. 

If you would like to suspend for non medical reason’s you can do this online via the Member portal.

Things to know before suspending your membership

Webstar’s Swim School members may suspend membership for illness or injury up to a maximum of 12 weeks in any 12-month period (unless we approve a longer period).



Student details

Add each subsequent student and suspension details by clicking on the Add button below.

Number can be found on the back of the student card.

 
 
 

Suspension details

Please refer to our calendar for the direct debit dates.
 
If you would like to suspend for non medical reason’s you need to do this online via the Member portal.



 
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Open the calendar popup.
 
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Open the calendar popup.
 
Select file to upload (doc,docx,pdf,jpg,png,gif,xls,xlsx,ppt,pptx,txt,rtx). File size limit: 25MB
   

Parent/guardian details

 
 
  

Declaration

You request that the student’s membership be suspended for the period above, and agree that:

  • this suspension request will not be accepted unless all payments for the student are up to date

  • access rights to all Centres  will be suspended during the suspension period

  • the student's membership and scheduled direct debit payments will recommence immediately after the suspension ends.

 

Privacy

The City of Greater Geelong collects the information on this form to administer your Swim Sport & Leisure membership, send marketing communications and relevant updates as well as for purposes of our market research.

This information is collected and handled in accordance with the City’s Privacy Policy. For more information read our website privacy statement.

If you would like to access your personal information, please call our Privacy Officer on 03 5272 5272 or email [email protected]