SWIMMING CANCELLATION FORM

1. CUSTOMER INFORMATION
Parent Surname Child First Name (3)

Parent First Name C2K Family Number

Child First Name (1) Mobile Number

Child First Name (2) Phone Number

2. REASON FOR CANCELLATION

Financial Changing Swim Schools Moving Away Holidays

Illness and Injury Need a Break Winter Personal

Other

Would you be happy for us to call and reassess your position in the future?
No 2 Months 4 Months 6 Months 9 Months 12 Months

3. FEEDBACK
At Castle Hill Swimming we strive to provide a consistent and market leading service to our customers. To ensure we continue to
provide this service, we welcome any feedback you may have in relation to your experience with us.

Were you happy with Yes No Were you happy with Yes No Were you happy with Yes No
your teacher? your child’s progress? the customer service?

Comments

4. MEMBERSHIP TAG RETURN

Please hand your membership tag to reception staff at the conclusion of your last lesson. If the tag is not returned there will be
a $5.00 fee applied upon re-enrolment. When re-applying for lessons/squads at Castle Hill Swimming within 90 days of any
cancellation the joining fee will be waived.
Please cancel the fortnightly direct debit to my Credit Card or Bank Account, effective from:
Last Lesson Date
Credit Card Bank Account
Print Name Staff Name

Account / Card holders signature: Staff Signature

Date Date

PO Box 25 (77 Castle Street) Castle Hill NSW 1765 | Phone 02 9846 1230
Email swimreception@chrg.com.au | Web www.chfac.com.au