LEAVE REQUEST FORM

The below leave request form is applicable for Mosman Swim Centre Memberships only. Please note if you are an Ezyswim member, please visit www.ezyswim.com.au to complete applicable leave request form.

Member Details:

First Name (required):

Surname (required):

Email (required):

Mobile Phone (required):

Member Number (if known):

Membership Type:

Membership Type: (required)

Date of first absence:

Date of final absence:

Terms and conditions:

  • If you wish to take a break or be away for a period of time a leave request form can be completed online at www.mosmanswimcentre.com.au.
  • Forms must be submitted by the 25th day of the current month to take effect for the following calendar month.
  • Leave must be in multiples of full calendar weeks (Monday-Sunday).
  • Annual Members can take 6 weeks of leave per calendar year at no charge. No further extensions will be granted.
  • Monthly Members can take 6 weeks of leave per calendar year at no charge. Any additional weeks over this will be charged at $5/week.
  • Requests will not be back dated under any circumstances.
  • Separate leave requests must be submitted per new leave period.
  • Medical leave request. In the event of genuine medical illness unlimited leave will be granted upon receipt of a valid medical certificate.

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