Suspend my membership

Membership Suspension Request Form

Terms as per Sections 5a, 5b, 6, YMCA Service Agreement. 

Please complete the form below if you would like to suspend (defer) your membership at Northcote Aquatic and Recreation Centre.  

Please note that Swimming Lesson Memberships can only be suspended during the month of January, forms must be submitted between 28 Novermber and 18 December 2016 and not be accepted after this date. 

* Denotes Required Fields
I wish to suspend my membership
  • This request must be lodged a minimum of three business days prior to the start date of suspension. Memberships may be suspended (deferred) for a minimum of two weeks and a maximum of 26 weeks at a time.

Terms and Conditions
  • The first 4 weeks of suspension per calendar year are free of charge after which suspension will be charged at $5 per week. Minimum term memberships can be suspended however the suspension time will extend the minimum term accordingly. PRYME membership suspensions are free of charge. 

    All medical suspensions are free of charge upon presentation of a valid medical certificate that covers all requested dates of suspension must be presented at the time of lodgement. Medical suspensions can only be backdated for one month. 

  • Thank you for completing this form.

    We will confirm your suspension request via email within 3 business days.