Time Freeze
* denotes required field
Home Club
Select One
Bondi Junction
Bligh Street
Park Street
First Name*
Surname*
Membership Tag No*
Contact phone no.*
Freeze From*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2011
2012
2013
2014
2015
2016
2017
2018
2019
Reason for time freeze*
Select One...
Business Relocation
Illness
Injury
Pregnancy
Holidays & Other
Freeze For*
Select One...
2 weeks
4 weeks
6 weeks
8 weeks
10 weeks
12 weeks
14 weeks
16 weeks
18 weeks
20 weeks
22 weeks
24 weeks
26 weeks
Supporting documentation attached:
Letter from employer (for business relocation)
Medical certificate (for pregnancy/injury/illness)
I agree to the
terms & conditions
submit