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CANCELLATION &

SUSPENSION FORM
Swim School
Parent/Guardian Name ______________________________________________________

Phone____________________________________ Email _________________________________________________________

Name Level Day Time

Swimmer 1

Swimmer 2

Swimmer 3

Swimmer 4

SUSPENSION DATE
Suspension must be received 14 days prior to the suspension date. Suspensions must be for a minimum of 1 week to a
maximum of 4 weeks free of charge. Your day and time in the class will be secure until you return.

Suspension From:

To:

Resumption Date:

--------------------------------------------------------------------------------------------------------------------------------
CANCELLATION
Cancellation must be received 14 days prior to the cancellation date. A cancellation means that you no longer wish to hold your
place in class for an extended period of time.
Please note: Should you wish to re-enrol at a later date a registration fee will be charged.

Cancellation Date:

ACKNOWLEDGEMENT

By signing I acknowledge I have read and understood the term and conditions on the reverse side of this agreement and
acknowledge that this is a legally binding contract and that I agree to observe and be bound by it.

Signature Date
TERMS AND CONDITIONS
VENUESWEST REFUNDS AND MISSED CLASSES CAMERA AND MOBILE PHONE USE
In these Terms and Conditions, VenuesWest means the Western There will be no make-up lessons or refunds for missed lessons. The use of cameras and mobile phones in change rooms or toilets is
Australian Sports Centre Trust, trading as VenuesWest; and Refunds may be provided as a result of medical reasons or exceptional strictly prohibited. To ensure privacy is maintained, the use of cameras,
management means the management of VenuesWest; and loss or circumstances, where 3 or more continuous lessons have been missed. including mobile phones, is only permitted with immediate members of
damages to property includes economic, indirect and consequential loss. You must provide either a medical certificate or proof of the exceptional your group.
circumstance for VenuesWest to consider a refund. All refund requests
SWIM SCHOOL CONTINUOUS PROGRAM ACKNOWLEGEMENT must be made in writing, by completing the Refund Request Form PRIVATE BUSINESS
On payment of the fees set out in the Swim School Continuous Program (available at the Swim School Office). No private business may be conducted within VenuesWests facilities and
Agreement (Continuous Program Agreement), I acknowledge that Any refunds granted will incur an administration fee. its surrounding grounds without written consent of VenuesWest.
I will be bound by these Terms and Conditions and the Swim School
Continuous Program (Continuous Program). As a VenuesWest Swim CHANGE OF DETAILS TICKET GIVEAWAYS
School patron (you, your or I) I understand that my children are If you wish to amend your Continuous Program Agreement (personal Members may be automatically entered into draws for ticket giveaways
entitled to swimming lessons at the times set out in the Continuous details, apply for HBF Health Insurance discount, alter your direct debit to concerts and events held at VenuesWest venues. Please advise
Program Agreement until such a time that I cancel my Continuous details etc.) you are required to provide a minimum of 48 hours notice VenuesWest if you do not want to be automatically entered into these
Program Agreement in accordance with these Terms and Conditions. in writing to VenuesWest on a Change of Details Form (available at the draws.
Swim School Office or online).
Swimming lessons are ongoing and held weekly. There will be a break
SWIMMING LESSON CANCELLATIONS
of 6 weeks between December and January in line with the gazetted
HBF HEALTH INSURANCE MEMBER DISCOUNT Swimming lesson dates are subject to cancellation due to insufficient
school calendar; the dates will be advised annually. Payment will be
As a result of the naming rights agreement with VenuesWest, all current bookings. If a swimming lesson is cancelled, an alternative date/location
automatically placed on hold during this period. Your swimming lessons
HBF Health Insurance members are entitled to a discount. To receive this will be provided where possible.
will automatically recommence in January, unless cancelled by you in line
discount, please provide your current HBF membership number when
with these Terms & Conditions. Lessons do not run on public holidays.
completing your Continuous Program Agreement Form. By ticking the box RIGHT OF ADMISSION
overleaf and providing your HBF member number you acknowledge that VenuesWest reserves the right to refuse admission to any person or to
CONTINUOUS PROGRAM AGREEMENT REGISTRATION FORM VenuesWest may provide your membership number to HBF to cross check cancel any registration without warning due to inappropriate behaviour.
Registration Forms will only be accepted via email, post or in person
your eligibility for the discount and for purposes outlined in their Privacy Reasons for cancellation or suspension may include failure to comply
(Monday Friday 8.45am-5.00pm), excluding public holidays.
Policy and the HBF private Health Insurance Collection Statement which with VenuesWests Conditions of Entry or any reason that VenuesWest
Registrations must be made at least 48 hours in advance of the first
are available on the HBF website hbf.com.au. deems appropriate.
swimming lesson.

No registration will be accepted without completion of the Continuous COMMUNICATIONS AND PRIVACY INTERPRETATION OF RULES
Program Agreement Registration Form and Direct Debit Authority Form. I acknowledge that as a patron of VenuesWest, I may receive Should any interpretation on construction of these rules and regulations
communications and marketing materials from VenuesWest. VenuesWest arise, then the decision of management in relation to that question shall
will not distribute any personal details to any third party without prior be final and no claim for compensation or damages or refund may be
REGISTRATION FEE
permission. See our Privacy Statement at venueswest.wa.gov.au/privacy made by the patron against VenuesWest.
A family registration fee of $10.00 will apply to all registrations including
families re-registering following a cancellation of swimming lessons.
This fee will be included in your first Direct Debit payment against one ALLERGIES AND MEDICAL CONDITIONS RELEASE AND INDEMNITY
VenuesWest must be informed of all allergies and medical conditions, if I acknowledge that swimming at any aquatic facility is or can be
child only if you have more than one swimmer.
any, upon enrolment of a child. inherently, actually and / or potentially hazardous or dangerous and
that mishaps, accidents and injury (including death) can occur owing to
CONTINUOUS PROGRAM FEES & CHARGES If your child has a Medical Management Plan (severe asthma or poor physical fitness or condition, the acts or omissions of myself and/or
All swim school lessons will be paid by direct debit and will be ongoing anaphylaxis reaction), a copy of the Plan must be provided to VenuesWest. others, equipment failure, wrong or poor technique, over-exertion or any
unless VenuesWest is notified by you that you wish to cancel or suspend other cause, whether foreseen or unforeseen.
your Continuous Program Agreement (refer to Cancellation of Continuous VenuesWest must be notified of any changes to a childs condition that
Program Agreement section). may affect their care whilst at the venue. If the person who will be completing the swimming lessons at the
Please observe the following severity ratings, and advise by ticking the premises of VenuesWest pursuant to the Continuous Program Agreement
Your direct debit will commence from your first swimming lesson day. respective box alongside the severity rating located on the Enrolment is a minor, then I shall procure that person to abide by all terms and
Your Direct Debit will then occur weekly unless you cancel or suspend Form: conditions of this Continuous Program Agreement as if that person were
your Continuous Program Agreement in accordance with these Terms contractually bound to do so.
and Conditions. Should the day of your lessons change, the day your Mild: Non-life threatening reaction/condition, not requiring medication. I hereby declare that all particulars and details I have provided to
Direct Debit occurs will remain the same as per your original contract. Moderate: Non-life threatening reaction/condition requiring medication. VenuesWest are true and correct. I warrant that the person undertaking
By signing the Continuous Program Agreement and providing us with a Severe: Life threatening reaction/condition requiring medication. Please the swimming lesson is in a good state of health, fitness and physical
completed Direct Debit Authority Form, you have authorised VenuesWest condition and that there is no medical or other reason whatsoever
contact VenuesWest to discuss the appropriate action required.
to register your swimmers into swimming lessons and arrange for funds that could be regarded as a restriction upon or an impediment to the
to be debited from your nominated bank account or credit card. Continuous Program or participation in swimming lessons. I acknowledge
ENTRY CARD/CHECKING IN
You will be issued with a Swim School entry card to be collected from and agree that during all such times as I am on the premises of
FEE STRUCTURE Main Reception prior to your first swimming lesson. The card enables VenuesWest or its surrounds that both my property and my person shall
VenuesWest reserves the right to annually review and implement you to gain access to the aquatic centre and must be presented each be at my own risk in every respect.
new fees. Under the Continuous Program Agreement the fees will be time you attend a lesson. A charge of $5.00 will be applied, to replace I hereby release, exclude and discharge VenuesWest and all employees,
automatically adjusted annually on 1 July. You will receive a minimum any lost Entry Cards. Entry Cards cannot be used by any person other volunteers, agents and officers thereof from and against all past,
of 14 days notice in writing of any changes to the fees. Different
than the person entitled. current and future liability, in negligence or howsoever, arising from
swimming levels attract different fees. Your childs swimming level will
any injury, illness or death or loss of or damage to property occurring
be continually assessed and the fee may change as their level changes.
CONDITIONS OF ENTRY POLICY to or sustained by me or any child of mine or who is under my care and
Any adjustment in fees as a result of a change in swimming level will
All patrons must abide by VenuesWests Conditions of Entry, available control whilst in, at or near the premises of VenuesWest. Further I shall
occur automatically.
online or at reception on request. not bring or assert or allow to be brought or asserted any claim, demand,
cause of action, proceeding, action or the like against VenuesWest or
SUSPENSION OF CONTINUOUS PROGRAM AGREEMENT any employee, volunteer, agent or officer thereof in contravention of the
You may suspend your Continuous Program Agreement for a minimum of CHANGE OF SERVICE
VenuesWest reserves the right to alter and/or cancel any class, activity previous sentence.
1 week and a maximum of 4 weeks per calendar year. You must complete
a Cancellation/Suspension Form (available at the Swim School Office or or access to facility space due to the hosting of major events, swimming I hereby indemnify and shall keep indemnified VenuesWest and
online) and provide it to VenuesWest with a minimum of 14 days notice carnivals, maintenance, insufficient bookings etc. VenuesWest will notify its members, volunteers, agents, officers and employees (those
for the suspension to take effect. you of any change to service. Indemnified) from, against and in respect to all loss, damage, costs,
expenses, claims, demands, actions and liability (howsoever described)
TERMS & CONDITIONS suffered, incurred or brought against any of those Indemnified arising
CANCELLATION OF CONTINUOUS PROGRAM AGREEMENT
Terms and Conditions may vary between venues and are subject to from or relating to any:
To cancel a Continuous Program Agreement you must complete a
Cancellation/Suspension Form (available at the Swim School Office and management approval. (a) injury, illness or death of myself or any minor or other person for
online) and provide it to VenuesWest with a minimum of 14 days notice. whom I am responsible; or
Scheduled payments will continue until your cancellation date. BREACH OF CONTINUOUS PROGRAM AGREEMENT (b) loss of or damage (including economic, indirect or consequential
The Continuous Program Agreement is an ongoing agreement and you loss) to property owned by me or anyone else (including any minor or
FAILED DIRECT DEBIT PAYMENT will continue to be automatically debited until such time as you cancel other person for whom I am responsible) arising from, on account of or in
If VenuesWest is unable to debit your fees from your account/credit card or suspend the Continuous Program Agreement, in accordance with connection with:
you will be notified by email of the failed payment. VenuesWest will debit these Terms and Conditions. If you terminate the direct debit authority
your nominated bank account or credit card, until total fees owing are in a manner not prescribed by the Terms and Conditions, you may be (i) the use of any pool, swimming facilities or equipment of
recovered. A fee of $15 will be charged for a failed payment, in addition liable to VenuesWest for damages for breach of the Continuous Program VenuesWest by me or any minor or other person for whom I am
Agreement. responsible; or
to your Continuous Program Agreement fees.
(ii) this Continuous Program Agreement or any other requirements of
REPEATED FAILED DIRECT DEBIT PAYMENTS TERMINATION OF CONTINUOUS PROGRAM AGREEMENT BY VenuesWest, or any breach thereof by me or any minor or other person for
Repeated failed direct debit payments may result in the termination of VENUESWEST whom I am responsible.
your Continuous Program Agreement; you will be notified by phone or VenuesWest may terminate this agreement if you breach the:
email. All outstanding fees must be paid in full before lessons can be
resumed. Terms and Conditions of this Continuous Program Agreement; or
Conditions of Entry.
170313_HS_KA

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