Forms - C-Life Health Club

C-LIFE APPLICATION FORM:

C-LIFE APPLICATION FORM AVAILABLE FOR PREVIEW HERE. ALL APLICATION FORMS TO BE COMPLETED IN-PERSON AND HANDED OVER TO C-LIFE RECEPTION STAFF DURING STAFF HOURS.

C-LIFE WEBSITE ON HOLD REQUEST FORM

Please Note: On Hold suspension changes are effective from 8 January 2026

C-Life Calendar Year = 8 January to 7 January each year
Membership	Complimentary On-Hold Period	Extended On-Hold Period
Standard Fortnightly & Off-Peak Direct Debit PAYG, Corporate, PAYG Plus Reformer, Junior Direct Debit, Staff Direct Debit	1-8 weeks (60 days) per calendar year	Up to an additional 8 weeks (60 days) per calendar year at $5/week
6 & 12 Month Upfront On-Hold period
6 Month Upfront	1-2 weeks (14 days) per membership cycle	Up to an additional 8 weeks (60 days) at $5/week
12 Month Upfront	1-4 weeks (30 days) per membership cycle	Up to an additional 8 weeks (60 days) at $5/week

Please read the following Terms and Conditions below before completing the On-Hold Request Form.

1. To be eligible for On Hold period, you must hold a current 6 month upfront (2 weeks free), 12 months upfront (4 weeks free) any Direct Debit membership (8 weeks free).

2. On Hold requests must be submitted to C-Life online, with 14 days’ notice, prior to the commencement of the suspension period and allow 5 business days for the process to be actioned.

3. On Hold requests must be for a minimum of 7 consecutive day periods

4. Back dated requests will not be accepted

5. All outstanding arrears must be settled prior to an On Hold request being processed

6. Direct Debit On-Hold fees incurred will be debited on the closest debit period to the request

7. Upfront membership On Hold fees incurred will be payable a C-Life upon the next visit to C-Life

8. A separate online submission will be required if members wish to extend the original suspension request dates

9. Suspension requests for medical reasons will require a medical certificate at the time of online request and only after using the total free and extension period.

10. C-Life will send members an email confirmation outlining when their visits and debits will stop and resume.

11. It is the members responsibility to contact C-Life administration staff if a confirmation email has not been received within 5 business days from the date of the online submission

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*□ I have read the and understood the above Terms & Conditions

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Name

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I have read the above and agree with the Terms & Conditions.

First Name*

Last Name*

Date of Birth

Email Address*

Contact Number*

Address*

Street* Suburb* State* Postcode*

Year Joined

Please enter a number from 1 to 9999.

Membership Type

On Hold Start Date*

On Hold End Date*

Reason*

UPDATE YOUR DETAILS

If your contact details have changed since joining, please complete and submit the following form.

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X/Twitter

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First NameThe field is required.

SurnameThe field is required.

Canterbury League Club Membership NumberThe field is required.

Date of BirthThe field is required.

Mobile

61 Phone Number

Email Address