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Freeze Form

Your Full Name*
Your Home Club*
At which location did you join?
What would you like to freeze?*
Please select all options that apply to you
Please note; all Freezes are in 2 week increments to align with the billing cycle.
Please note; all Freezes are in 2 week increments to align with the billing cycle.
Please note; all Freezes are in 2 week increments to align with the billing cycle.
Typically, we offer 4 freeze weeks per calendar year. Any additional time required incurs a small administration fee of $3 per week.
Why would you like to Freeze your Coaching?*
Marrickville
Newtown
Surry Hills
The Bunker
When would you like to start your Freeze?*
Please note, your freeze start date cannot be prior to your submission request date.
Membership Return Date:*
Should you wish to return earlier, please contact us prior so that your account can be reactivated. Please note, your payments will automatically resume after this date.
Coaching Return Date:*
Should you wish to return earlier, please contact us prior so that your account can be reactivated. Please note, your payments will automatically resume after this date.
Creche Return Date:*
Should you wish to return earlier, please contact us prior so that your account can be reactivated. Please note, your payments will automatically resume after this date.
*
Use your mouse or finger to draw your signature above

Freeze Form: Membership Team to Complete

Freeze Request Outcome*
A$
Approved Membership Return Date*
Next Coaching Payment Date*
Approved Creche Return Date*
A$
*Note: Amount to be debited in $6 fortnightly increments during the membership freeze.
A$
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