Membership suspension request form

To request a suspension of your membership, please complete the form below. Please note that suspensions are not confirmed until you have been contacted by IWC Customer service staff.

The period of suspension allowed is dependent on the type of membership. Please review the suspension policy found in our Inner West Aquatics Membership Terms and Conditions (clause 6) located on our prices and memberships page prior to submitting your suspension request.

Application for suspensions must be lodged at least 1 day in advance to allow for processing. Suspension requests must be seven days minimum and not over the membership suspension limit.

For any enquiries regarding a suspension request, please contact us at lpac.enquiries@innerwest.nsw.gov.au.

First name*

Surname*

Membership card number

Phone*

Email*

When would you like the suspension to start (dates are inclusive)*

When would you like the suspension to end (dates are inclusive)*

Please select the reason for suspension*

* Please note a medical certificate may be required for suspensions due to illness or injury if you have exceeded the suspension period outlined in your membership contract.

If you have selected "Other" above, please elaborate

You will receive a copy of your submitted form via email as confirmation that it has been submitted successfully. If you do not receive this email, please contact us on 9392 5400 or email us at lpac.enquiries@innerwest.com.au.

Mandatory field(s) marked with *