Miami Strong Membership Freeze Form

Membership Freeze Request
Member Name*

First NameLast Name
Email*
example@example.com
Date Freeze to Commence*

MonthDayYear
Date
How many months would you like to freeze?*

123Other
Why would you like to freeze?*
Please explain
Medical Note Provided*

YesNo
Will you be traveling during the freeze?*

YesNo
I understand that my account must be in good standing to qualify for a freeze*

YesNo
I understand that if I wish to resume my gym activities early before expiry of the freeze, I must notify the Miami Strong Staff for my account can be unfrozen.*

YesNo
I understand that if I wish to cancel during or after my freeze the regular cancellation policies will apply.*

YesNo
File attached (such as medical proof)

Browse Files

Cancelof
I understand that I will be responsible for a $20 per month maintenance fee to keep membership active during freeze and that billing will commence as usual upon the freeze expiring.
Member Signature

Clear
Should be Empty:

Membership Freeze Request