Name *

First Name

Last Name

Requested Freeze Start Date: *

*note: the day of the month must match with the day of your current billing cycle.

MM

DD

YYYY

Is this request submitted 14 days’ prior to your renewal? *

Yes

No

Unsure

Terms & Conditions: *

Membership may be frozen for one month per calendar year. The freeze will begin on your next billing date and will automatically resume the following month. During the freeze period, you will not be billed, and access to classes will be temporarily paused. If your billing date falls within the next 14 days, we may not be able to process the freeze until the following cycle. Requests must be submitted at least 14 days before your next billing date to be processed in time.

I have read & understand Terms & Conditions

Acknowledgment & Agreement: *

I understand and agree to the terms of the membership freeze request.

First Name

Last Name

Date *

MM

DD

YYYY