oxigenbusinessconsulting.formstack.com
Open in
urlscan Pro
18.173.121.53
Public Scan
Submitted URL: https://bit.ly/F45BH_Suspension
Effective URL: https://oxigenbusinessconsulting.formstack.com/forms/f45_training_burleigh_heads_suspension_form
Submission: On August 18 via manual from AU — Scanned from AU
Effective URL: https://oxigenbusinessconsulting.formstack.com/forms/f45_training_burleigh_heads_suspension_form
Submission: On August 18 via manual from AU — Scanned from AU
Form analysis 1 forms found in the DOM
POST https://oxigenbusinessconsulting.formstack.com/forms/index.php
<form autocomplete="off" id="fsForm4885364" method="post" class="StyledForm-sc-1xaj75q-0 hZHsnQ fsForm" action="https://oxigenbusinessconsulting.formstack.com/forms/index.php" novalidate="" enctype="multipart/form-data"><input type="hidden"
tabindex="-1" name="displayTime" value="2024-08-18T19:45:39-04:00"><input type="hidden" tabindex="-1" name="formstackFormSchemaVersion" value="4"><input type="hidden" tabindex="-1" name="formstackFormRendererVersion" value="6.1.0"><input
type="hidden" tabindex="-1" name="form" value="4885364"><input type="hidden" tabindex="-1" name="viewkey" value="EkvXNRUfX1"><input type="hidden" tabindex="-1" name="password" value=""><input type="hidden" tabindex="-1" name="_submit"
value="1"><input type="hidden" tabindex="-1" name="incomplete" value=""><input type="hidden" tabindex="-1" name="incomplete_email" value=""><input type="hidden" tabindex="-1" name="incomplete_password" value=""><input type="hidden" tabindex="-1"
name="latitude" value=""><input type="hidden" tabindex="-1" name="longitude" value=""><input type="hidden" tabindex="-1" name="hiddenByLogicFieldIds[]" value="127882033"><input type="hidden" tabindex="-1" name="hiddenByLogicFieldIds[]"
value="127884920"><input id="fsUserAgent" type="hidden" tabindex="-1" name="fsUserAgent" value="Mozilla/5.0 (X11; Linux x86_64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/127.0.0.0 Safari/537.36">
<div id="fsPage4885364-1" class="StyledPage-sc-15mrpfq-0 hCMMok fsPage">
<div data-testid="section0-col1" id="fsSection0" class="StyledSection-sc-1jyjf4h-0 isdHqD fsSection"><span class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882026" for="field127882026"
data-testid="field-127882026"><a id="field-anchor-127882026" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p><img src="https://s3.amazonaws.com/files.formstack.com/public/748647/image_SUSPENSIONBURLEIGHHEADS.png" style="width: 638px; height: 211.954px;" class="fr-fic fr-dib"></p>
<p><br></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882027" for="field127882027" data-testid="field-127882027"><a id="field-anchor-127882027" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"><span>Member</span><span class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 vpZtd fsSubField fsNameFirst"><input autocomplete="given-name" class="StyledInput-sc-1cxwxcf-0 gUhiXF" id="field127882027-first" type="text" label="Member" required="" maxlength="20"
name="field127882027-first" data-fs-field-id="127882027" data-fs-field-name="name" data-fs-field-alias="first" value=""><label for="field127882027-first" class="StyledLabel-sc-vn5hkq-0 dUNhMe">First Name</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 vpZtd fsSubField fsNameLast"><input autocomplete="family-name" class="StyledInput-sc-1cxwxcf-0 gUhiXF" id="field127882027-last" type="text" label="Member" required="" maxlength="20"
name="field127882027-last" data-fs-field-id="127882027" data-fs-field-name="name" data-fs-field-alias="last" value=""><label for="field127882027-last" class="StyledLabel-sc-vn5hkq-0 dUNhMe">Last Name</label></div>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882028" for="field127882028" data-testid="field-127882028"><a id="field-anchor-127882028" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"><span>Mobile</span><span class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div><input autocomplete="tel"
class="StyledInput-sc-1cxwxcf-0 gUhiXF fsFieldPhone" name="field127882028" id="field127882028" data-testid="field127882028" required="" placeholder="" type="tel" data-fs-field-id="127882028" data-fs-field-name="phone"
data-fs-field-alias="*" value="">
</label><label class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882029" for="field127882029" data-testid="field-127882029"><a id="field-anchor-127882029" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"><span>Email</span><span class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 fFseqO"><input id="field127882029" type="email" maxlength="" label="Email" required="" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 gUhiXF fsFieldEmail" name="field127882029" size="50"
placeholder="" data-fs-field-id="127882029" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882030" for="field127882030" data-testid="field-127882030"><a id="field-anchor-127882030" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p><span style="color: rgb(20, 27, 77); font-size: 14px;"><strong><em>Terms and Conditions:</em></strong></span></p>
<ul>
<li><span style="color: rgb(20, 27, 77); font-size: 12px;">Memberships can be suspended at any time with 1 week's notice by completing the Suspension Form.</span></li>
<li><span style="font-size: 12px;"><span style="color: #141b4d;">One week minimum suspension.</span></span></li>
<li><span style="font-size: 12px;"><span style="color: #141b4d;">A one-off admin fee of $5 for each suspension (within reason).</span></span></li>
<li><span style="font-size: 12px;"><span style="color: #141b4d;">Suspensions cannot be backdated.</span></span></li>
<li><span style="font-size: 12px;"><span style="color: #141b4d;">Suspension periods will not count towards Your contractual minimum term and will extend any applicable minimum term by the number of suspended weeks taken.</span></span>
</li>
<li><span style="color: rgb(20, 27, 77); font-size: 12px;">Membership may not be suspended during the notice period of a cancellation request.</span></li>
</ul>
<p><span style="color: #141B4D;"><em><strong><span style="font-size: 14px;">Contracts:</span></strong></em></span></p>
<ul>
<li><span style="color: rgb(20, 27, 77); font-size: 12px;">12 Months Contract - 6 weeks suspension allowance per year</span></li>
<li><span style="font-size: 12px;"><span style="color: #141B4D;">6 Months Contract - 3 weeks suspension allowance per 6 months</span></span></li>
<li><span style="font-size: 12px;"><span style="color: #141B4D;">3 Month Contract - 2 weeks suspension allowance and up to 6 weeks per year</span></span></li>
<li><span style="color: #141B4D;"><span style="font-size: 12px;">Flexi / No Contract - 1</span><span style="color: rgb(20, 27, 77); font-size: 12px;"> week suspension allowance per year</span></span></li>
</ul>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882031" for="field127882031" data-testid="field-127882031-vertical"><a id="field-anchor-127882031" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"></div>
<fieldset aria-labelledby="127882031-legend" role="radiogroup" aria-required="true" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK PSYyM"><span
style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
<legend id="127882031-legend">A one-off admin fee of $5 for each suspension (within reason).</legend>
</span>
<div><label for="field127882031_1" class="StyledOptionLabel-sc-1bymt4x-0 isrKIC fsOptionLabel"><input label="A one-off admin fee of $5 for each suspension (within reason)." required="" class="StyledOptionButton-sc-wqe0tc-0 bfdMar"
type="radio" name="field127882031" id="field127882031_1" data-fs-field-id="127882031" data-fs-field-name="radio" data-fs-field-alias="*" value="I have read, understood and agree to the Terms & Conditions"><span>I have read,
understood and agree to the Terms & Conditions</span></label></div>
</fieldset>
</span><label class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882032" for="field127882032" data-testid="field-127882032"><a id="field-anchor-127882032" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"><span>Reason for the Suspension</span><span class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div><select size="1" id="field127882032"
type="select" label="Reason for the Suspension" required="" class="StyledSelectInput-sc-1qjysc9-0 ipgXwC fsFieldSelect" name="field127882032" data-fs-field-id="127882032" data-fs-field-name="select" data-fs-field-alias="*">
<option value=""></option>
<option value="Use the dropdown to select your reason">Use the dropdown to select your reason</option>
<option value="Holiday">Holiday</option>
<option value="Injury">Injury</option>
<option value="Injury/Medical with medical certificate (no fee will apply)">Injury/Medical with medical certificate (no fee will apply)</option>
<option value="Financial">Financial</option>
<option value="No time">No time</option>
<option value="Other">Other</option>
</select>
</label><label class="StyledLabel-sc-vn5hkq-0 erRfbY fsLabelVertical fsHiddenField fsFieldCell" id="label-field127882033" for="field127882033" data-testid="field-127882033"><a id="field-anchor-127882033" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsHidden fsRequiredLabel"><span>Other</span><span class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 fbEgnA"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 gUhiXF fsFieldShortAnswer fsHidden" id="field127882033" type="text" label="Other" required="" name="field127882033"
placeholder="" data-fs-field-id="127882033" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 erRfbY fsLabelVertical fsHiddenField fsFieldCell" id="label-field127884920" for="field127884920" data-testid="field-127884920"><a id="field-anchor-127884920" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsHidden fsRequiredLabel"><span>Please upload your Medical Certificate to be eligible to waive the admin fee.</span><span
class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div>
<div class="AsyncFileUploadstyles__StyledDragAndDropContainer-sc-wvu5q-0 jpmLRO">
<div class="AsyncFileUploadstyles__StyledContentWrapper-sc-wvu5q-1 jyvZzY"><svg width="22" height="22" xmlns="http://www.w3.org/2000/svg" fill="#141b4d">
<path
d="M5.73 18.333c-1.313 0-2.444-.473-3.391-1.42-.947-.948-1.421-2.078-1.421-3.392 0-1.192.378-2.242 1.134-3.151.757-.91 1.73-1.456 2.922-1.639C5.28 7.25 5.998 6.038 7.128 5.1c1.13-.94 2.437-1.41 3.92-1.41 1.726 0 3.173.623 4.342 1.868 1.169 1.245 1.753 2.739 1.753 4.48v.55c1.1-.03 2.032.325 2.796 1.066.764.741 1.146 1.677 1.146 2.807 0 1.054-.382 1.963-1.146 2.727-.764.764-1.673 1.146-2.727 1.146h-5.523a1.32 1.32 0 01-.963-.412 1.32 1.32 0 01-.412-.963v-5.912l-1.421 1.42a.62.62 0 01-.481.195.703.703 0 01-.482-.217.672.672 0 01-.206-.493c0-.191.069-.355.206-.493l2.59-2.59a.697.697 0 01.23-.16.673.673 0 01.251-.046c.092 0 .176.016.252.046.077.03.153.084.23.16l2.612 2.613a.66.66 0 01.206.481.66.66 0 01-.206.482.673.673 0 01-.493.206.673.673 0 01-.492-.206l-1.421-1.398v5.912h5.523c.687 0 1.275-.244 1.764-.733a2.406 2.406 0 00.734-1.765c0-.687-.245-1.275-.734-1.764a2.406 2.406 0 00-1.764-.734h-1.444v-1.925c0-1.36-.462-2.528-1.386-3.506-.925-.978-2.067-1.467-3.426-1.467-1.36 0-2.506.49-3.438 1.467-.932.978-1.398 2.147-1.398 3.506h-.435c-.948 0-1.75.333-2.407.997-.657.665-.985 1.486-.985 2.464 0 .947.336 1.76 1.008 2.44.673.68 1.482 1.02 2.43 1.02h2.52a.668.668 0 01.688.688.668.668 0 01-.688.687h-2.52z">
</path>
</svg>
<div class="AsyncFileUploadstyles__StyledDragAndDropText-sc-wvu5q-2 ftAmof">Drag and drop here or <button data-testid="browse-files-127884920"
class="UnstyledButton-sc-1wod56h-0 AsyncFileUploadstyles__StyledBrowseButton-sc-wvu5q-9 dApaXv bVaRyU">Browse files</button></div>
<div class="AsyncFileUploadstyles__StyledSupportingText-sc-wvu5q-3 fZYiUj">Max file size: 10 MB</div>
</div>
</div><input type="file" class="fsHidden fsFieldFile" name="" id="file-upload-field127884920" required="" accept="jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,csv,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx"
aria-hidden="true" data-fs-field-id="127884920" data-fs-field-name="file" data-fs-field-alias="*" style="display: none;">
</label><span class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882034" for="field127882034" data-testid="field-127882034"><a id="field-anchor-127882034" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"><span>Start date of your suspension</span><span class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div>
<div class="MuiDatePicker__FlexWrapper-sc-kljxd6-1 dwHNoJ fsDateField"><span class="MuiDatePicker__DateTimeWrapper-sc-kljxd6-0 gpGOXS">
<div class="sc-kOHTFB nvsbZ MuiFormControl-root MuiFormControl-fullWidth sc-hCPjZK fhKdOp MuiTextField-root">
<div class="sc-ikkxIA sc-jsJBEP iODVcq dCJSeQ MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall MuiInputBase-adornedEnd"><input aria-invalid="false"
autocomplete="off" id="field127882034-*" placeholder="DD/MM/YYYY" required="" type="text" aria-label="Date field for Start date of your suspension" data-testid="127882034-date-input" inputmode="text"
class="sc-dAbbOL sc-koXPp lhapvJ hDECnN MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall MuiInputBase-inputAdornedEnd" value="">
<fieldset aria-hidden="true" class="sc-hmdomO fruRzV sc-eeDRCY dMx MuiOutlinedInput-notchedOutline">
<legend class="sc-bXCLTC GsnjP"><span class="notranslate"></span></legend>
</fieldset>
</div>
</div>
</span></div><input name="field127882034M" id="field127882034M" type="hidden" readonly="" data-testid="month" data-fs-field-id="127882034" data-fs-field-name="datetime" data-fs-field-alias="M" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value=""><input name="field127882034D" id="field127882034D" readonly="" type="hidden" data-testid="day" data-fs-field-id="127882034" data-fs-field-name="datetime" data-fs-field-alias="D" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value=""><input name="field127882034Y" id="field127882034Y" readonly="" type="hidden" data-testid="year" data-fs-field-id="127882034" data-fs-field-name="datetime" data-fs-field-alias="Y" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value=""><input name="field127882034H" id="field127882034H" readonly="" data-testid="hour" type="hidden" data-fs-field-id="127882034" data-fs-field-name="datetime" data-fs-field-alias="H" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value=""><input name="field127882034I" id="field127882034I" readonly="" data-testid="minutes" type="hidden" data-fs-field-id="127882034" data-fs-field-name="datetime" data-fs-field-alias="I" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value=""><input name="field127882034S" id="field127882034S" readonly="" data-testid="seconds" type="hidden" data-fs-field-id="127882034" data-fs-field-name="datetime" data-fs-field-alias="S" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value=""><input name="field127882034A" id="field127882034A" readonly="" data-testid="ampm" type="hidden" data-fs-field-id="127882034" data-fs-field-name="datetime" data-fs-field-alias="A" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value=""><span class="StyledSupportingText-sc-1pgm78z-0 czzTwn fsSupporting"><span>Minimum is 1 week notice. Suspensions cannot be backdated. </span></span>
</span><label class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127885026" for="field127885026" data-testid="field-127885026"><a id="field-anchor-127885026" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"><span>How long do you want to suspend for?</span><span class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div><select size="1"
id="field127885026" type="select" label="How long do you want to suspend for?" required="" class="StyledSelectInput-sc-1qjysc9-0 ipgXwC fsFieldSelect" name="field127885026" data-fs-field-id="127885026" data-fs-field-name="select"
data-fs-field-alias="*">
<option value=""></option>
<option value="1 Week">1 Week</option>
<option value="2 Weeks">2 Weeks</option>
<option value="3 Weeks">3 Weeks</option>
<option value="4 Weeks">4 Weeks</option>
<option value="5 Weeks">5 Weeks</option>
<option value="6 Weeks">6 Weeks</option>
</select><span class="StyledSupportingText-sc-1pgm78z-0 czzTwn fsSupporting"><span>Your membership and payments will resume after the weeks selected.</span></span>
</label><span class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field154492029" for="field154492029" data-testid="field-154492029-vertical"><a id="field-anchor-154492029" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"><span>Downgrade my membership to the At Home Membership for $15 per week while I suspend my Studio Membership.</span><span
class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div>
<fieldset aria-labelledby="154492029-legend" role="radiogroup" aria-required="true" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK PSYyM"><span
style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
<legend id="154492029-legend">Downgrade my membership to the At Home Membership for $15 per week while I suspend my Studio Membership.</legend>
</span>
<div><label for="field154492029_1" class="StyledOptionLabel-sc-1bymt4x-0 isrKIC fsOptionLabel"><input label="Downgrade my membership to the At Home Membership for $15 per week while I suspend my Studio Membership." required=""
class="StyledOptionButton-sc-wqe0tc-0 bfdMar" type="radio" name="field154492029" id="field154492029_1" data-fs-field-id="154492029" data-fs-field-name="radio" data-fs-field-alias="*" value="Yes, please"><span>Yes,
please</span></label></div>
<div><label for="field154492029_2" class="StyledOptionLabel-sc-1bymt4x-0 isrKIC fsOptionLabel"><input label="Downgrade my membership to the At Home Membership for $15 per week while I suspend my Studio Membership." required=""
class="StyledOptionButton-sc-wqe0tc-0 bfdMar" type="radio" name="field154492029" id="field154492029_2" data-fs-field-id="154492029" data-fs-field-name="radio" data-fs-field-alias="*" value="No, thanks"><span>No, thanks</span></label>
</div>
</fieldset>
</span><label class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882036" for="field127882036" data-testid="field-127882036"><a id="field-anchor-127882036" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel fsRequiredLabel"><span>Signature</span><span class="StyledRequiredMarker-sc-d195mo-0 cqpVpJ fsRequiredMarker">*</span></div>
<div class="StyledSignatureContainer-sc-1grg5aj-0 eHZgqE"><canvas height="170" class="StyledSignatureCanvas-sc-130ravl-0 ivfbuo" width="656" style="touch-action: none; user-select: none;"></canvas>
<div class="StyledSignatureLine-sc-6380wo-0 cXQbBw"></div>
</div><button type="button" class="StyledSignatureClearButton-sc-kxz5sz-0 kNqQeZ">Clear</button><input type="hidden" name="field127882036" id="field127882036" data-fs-field-id="127882036" data-fs-field-name="signature" data-fs-field-alias="*"
value=""><span class="StyledSupportingText-sc-1pgm78z-0 czzTwn fsSupporting"><span>Use your mouse or finger to draw your signature above</span></span>
</label><label class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882037" for="field127882037" data-testid="field-127882037"><a id="field-anchor-127882037" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel"><span>Notes</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 fbEgnA"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 gUhiXF fsFieldShortAnswer" id="field127882037" type="text" label="Notes" name="field127882037" placeholder=""
data-fs-field-id="127882037" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsReadOnly fsFieldCell" id="label-field127882038" for="field127882038" readonly=""
data-testid="field-127882038"><a id="field-anchor-127882038" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 dUQEJX fsLabel"><span>Date</span></div>
<div class="MuiDatePicker__FlexWrapper-sc-kljxd6-1 dwHNoJ fsDateField"><span class="MuiDatePicker__DateTimeWrapper-sc-kljxd6-0 gpGOXS">
<div class="sc-kOHTFB nvsbZ MuiFormControl-root MuiFormControl-fullWidth sc-hCPjZK fhKdOp MuiTextField-root">
<div
class="sc-ikkxIA sc-jsJBEP iODVcq dCJSeQ MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary Mui-disabled MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall MuiInputBase-adornedEnd Mui-readOnly MuiInputBase-readOnly">
<input aria-invalid="false" autocomplete="off" disabled="" id="field127882038-*" placeholder="DD/MM/YY" readonly="" type="text" aria-label="Date field for Date" data-testid="127882038-date-input" inputmode="text"
class="sc-dAbbOL sc-koXPp lhapvJ hDECnN MuiInputBase-input MuiOutlinedInput-input Mui-disabled MuiInputBase-inputSizeSmall MuiInputBase-inputAdornedEnd Mui-readOnly MuiInputBase-readOnly" value="19/08/24">
<fieldset aria-hidden="true" class="sc-hmdomO fruRzV sc-eeDRCY dMx MuiOutlinedInput-notchedOutline">
<legend class="sc-bXCLTC GsnjP"><span class="notranslate"></span></legend>
</fieldset>
</div>
</div>
</span></div><input name="field127882038M" id="field127882038M" type="hidden" readonly="" data-testid="month" data-fs-field-id="127882038" data-fs-field-name="datetime" data-fs-field-alias="M" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="Aug"><input name="field127882038D" id="field127882038D" readonly="" type="hidden" data-testid="day" data-fs-field-id="127882038" data-fs-field-name="datetime" data-fs-field-alias="D" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="19"><input name="field127882038Y" id="field127882038Y" readonly="" type="hidden" data-testid="year" data-fs-field-id="127882038" data-fs-field-name="datetime" data-fs-field-alias="Y" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="2024"><input name="field127882038H" id="field127882038H" readonly="" data-testid="hour" type="hidden" data-fs-field-id="127882038" data-fs-field-name="datetime" data-fs-field-alias="H" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="7"><input name="field127882038I" id="field127882038I" readonly="" data-testid="minutes" type="hidden" data-fs-field-id="127882038" data-fs-field-name="datetime" data-fs-field-alias="I" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="45"><input name="field127882038S" id="field127882038S" readonly="" data-testid="seconds" type="hidden" data-fs-field-id="127882038" data-fs-field-name="datetime" data-fs-field-alias="S" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="41"><input name="field127882038A" id="field127882038A" readonly="" data-testid="ampm" type="hidden" data-fs-field-id="127882038" data-fs-field-name="datetime" data-fs-field-alias="A" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="AM">
</span><span class="StyledLabel-sc-vn5hkq-0 kYXicJ fsLabelVertical fsFieldCell" id="label-field127882039" for="field127882039" data-testid="field-127882039"><a id="field-anchor-127882039" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p style="text-align: center;"><span style="color: #141b4d;"><strong><em><span style="font-size: 14px;">PLEASE ALLOW 1 BUSINESS DAY TO PROCESS YOUR FORM</span></em></strong></span></p>
</div>
</span></div>
</div>
<div id="fsSubmit4885364" class="StyledFormFooter-sc-9cjpwp-0 gqkVov fsSubmit fsPagination">
<div class="StyledFormNavigations-sc-t0vu6u-0 jnnwJH"><button id="fsSubmitButton4885364" class="StyledSubmitButton-sc-1ylq3c5-0 kuaxQC fsSubmitButton" type="submit">Submit</button></div>
</div>
<div class="StyledSecurityLogo-sc-134tpw7-0 iCVXPY"><img src="//static.formstack.com/forms/forms-renderer/static/image/stacklock.png" alt="Form secured by Formstack">
<div><span>Form secured by</span><a href="http://www.formstack.com/try-formstack?utm_source=stacklock&utm_medium=product&utm_campaign=product+branding&fa=stacklock,4885364" target="_blank" rel="noopener nofollow">Formstack</a></div>
</div>
</form>Text Content
Member* First Name Last Name Mobile* Email* Terms and Conditions: * Memberships can be suspended at any time with 1 week's notice by completing the Suspension Form. * One week minimum suspension. * A one-off admin fee of $5 for each suspension (within reason). * Suspensions cannot be backdated. * Suspension periods will not count towards Your contractual minimum term and will extend any applicable minimum term by the number of suspended weeks taken. * Membership may not be suspended during the notice period of a cancellation request. Contracts: * 12 Months Contract - 6 weeks suspension allowance per year * 6 Months Contract - 3 weeks suspension allowance per 6 months * 3 Month Contract - 2 weeks suspension allowance and up to 6 weeks per year * Flexi / No Contract - 1 week suspension allowance per year A one-off admin fee of $5 for each suspension (within reason). I have read, understood and agree to the Terms & Conditions Reason for the Suspension* Use the dropdown to select your reasonHolidayInjuryInjury/Medical with medical certificate (no fee will apply)FinancialNo timeOther Other* Please upload your Medical Certificate to be eligible to waive the admin fee.* Drag and drop here or Browse files Max file size: 10 MB Start date of your suspension* Minimum is 1 week notice. Suspensions cannot be backdated. How long do you want to suspend for?* 1 Week2 Weeks3 Weeks4 Weeks5 Weeks6 WeeksYour membership and payments will resume after the weeks selected. Downgrade my membership to the At Home Membership for $15 per week while I suspend my Studio Membership.* Downgrade my membership to the At Home Membership for $15 per week while I suspend my Studio Membership. Yes, please No, thanks Signature* ClearUse your mouse or finger to draw your signature above Notes Date PLEASE ALLOW 1 BUSINESS DAY TO PROCESS YOUR FORM Submit Form secured byFormstack