Swim ARCademy Medical Suspension form

Your details

Name:

Surname:

Phone:

Email:

Student details

Student name:

Student surname:

Please acknowledge and agree to the following terms and conditions:

I acknowledge that a medical suspension can only be issued for absences for swimming lessons between 2 and 7 weeks. Retrospective suspensions will not be considered after a sixty (60) day period.

I wish to suspend my membership for the following period

From:

Calendar

To:

Calendar

Upload medical evidence: