Cancellation of Services Form

"*" indicates required fields

We are sorry that you wish to cancel or suspend your membership with us. Before you go, please ensure that you have read the Terms and Conditions regarding reactivation of your Membership so you understand any fees that may be applicable should you decide to reactivate in the future. Please fill in the form below to process your cancellation or suspension.

Participant Name*

First Last

School or Award Centre*

Name of your School or the State Open Award Centre

Phone

Participant Email*

Parent Email*

Is this a cancellation or suspension*

A cancellation includes not moving into the next level

Reason for Cancellation of Suspension of your Membership*

YouthAdvance are anonymously gathering information on reasons why participants are cancelling or not progressing through to the next level so that we can both improve our services and feed information back to Duke of Edinburgh Nationally.

What can YouthAdvance do to improve?*