Please complete the following form if you need to suspend your current Latrobe Leisure membership. Name Email Address Phone Number Membership Type Gold Silver Bronze Membership Location Latrobe Leisure Churchill Latrobe Leisure Morwell Latrobe Leisure Moe Newborough Suspension Start Date Suspension End Date Reason for Suspension Upload Medical Certificate (If Available) One file only.256 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Leave this field blank
