Are you returning? | Arthritis NSW

Term 4, 2024 Term Intention

Please complete the Term 4 Term Intentions form below to let us know if you will or will not be returning for Term 4 no later than Friday 27 September. Please be aware that you have until the 27 September 2024 to inform us, otherwise you will automatically rollover and be charged the term fee on 15 October 2024..

Term 4: 14 October to 21 December, 2024.

"*" indicates required fields

Name*

First Last

Email*

Which Warm Water Exercise Class are you currently attending?

If you are in two or more classes please complete a form for each class.

Will you be returning in Term 4, 2024?*

Yes I will be returning

No. I acknowledge that I am leaving Arthritis NSW Gentle Exercise classes and will not be attending any further classes unless otherwise discussed with the Program’s Administration Officer.

As you have said you are not returning, can you please let us know the reason/s why?*

Are you interested in rejoining our classes in the future?

Yes

Maybe

Have your credit card details changed?*

Yes

This field is for validation purposes and should be left unchanged.