Swim School Cancellation Form

Please enter details below and one of our team will be in contact soon.

Parent/ Guardian First Name *

Parent/ Guardian Last Name *

Email Address *

Phone Number *

Name of Student Cancelling *

Child's Date of Birth *

Address *

Street address *

City *

State *

Postcode *

Reason for cancellation? *

If other, please list reason

Have you provided 2 weeks' notice before your next direct debit? *

Which CB Swim School location do you attend? *

What is your preferred method of contact? *

I agree to the CB Swim School Terms and Conditions. *

Privacy Notice

In submitting this form, you consent to Council:

1. collecting your personal information as contained in the form; and
2. using the information for the purposes outlined in the form and for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request. You may access any of your personal information that Council holds upon request.

*

Signature *

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Print Name *

Date *