Membership cancellation request form

Memberships with a direct debit payment option may be cancelled with at least fourteen (14) days notice from the member prior to the cancellation date (minimum 2 months membership). If not received, subsequent direct debits will continue until notice is received.

Any amounts owed to the facility by the member must be paid prior to the cancellation of the membership agreement.

All memberships have a 7-day cooling off period. To be eligible for a refund, a cancellation request must be received within 7-days of application being lodged. All services used during this 7-days will be charged at the applicable casual rate.

Please see Membership Terms and Conditions located on our prices and membership page and refer to clause 2. Cancellation/Change of membership for further details.

Please note cancellations are not confirmed until contacted by Inner West Aquatics staff.

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

First name*

Surname*

Member card number

Phone*

Email*

If you would like to give advance notice to cancel your membership, please select the date you want your membership to end (14 days minimum notice required). If this field is left blank, your membership end date will be 14 days from the date you submit this form.

Please select the reason for cancellation*

Please provide any other comments or feedback you would like to share with us

Mandatory field(s) marked with *