Swim Lesson Membership Suspension Form

Entries marked with * are mandatory.

This form must be completed by the member or a parent/guardian.

Information

Your child’s lessons may be put on hold in the event he/she is incapacitated. Please complete the suspension form below for your request to be considered. In suspending your child’s account we cannot guarantee your child will return to the same class.

Your Details

Membership Number *

Name *

Parent / Guardian Name *

Address *

Postcode *

Telephone *

Suspension Details

I wish to suspend membership (must be from a payment date to a payment date)

With effect from the 5th of *

Recommence on the 5th of *

Please help us by stating your reason for suspending the membership

Data Protection

We will use the information provided by you to respond to your enquiry. The basis under which the Council uses personal data for this purpose is that you have given your consent to the processing.

The Data Controller is Gedling Borough Council, Civic Centre, Arnot Hill Park, Arnold, Nottingham, NG5 6LU. You can contact the data protection officer at the above address or by email at dataprotectionofficer@gedling.gov.uk

Further information including how long we retain your data, who we share with and your rights can be found in our privacy notice