Membership Status Change

Membership Status Change

Street Jitsu Justin
Date of Request

YearMonthDay
Date
Membership Freeze

Member may request their membership be frozen for up to 3 months and will not be required to pay the enrollment fee when returning; however, initial memberships and first-time sign-ups are not eligible for a freeze until the full initial membership term has been completed.

Any additional freeze is allowed 12 months after the return date of the last freeze.

All freeze requests must be made 15 days or more before the next scheduled billing date; requests made in less than 15 days will result in the next scheduled membership payment being drawn.

All monthly freeze payments and all returning membership payments must be scheduled at the time the freeze request is submitted. Member agrees to complete the scheduled freeze payment for each member to maintain active membership status during the freeze. If any scheduled membership or freeze payment is missed, the agreement becomes void, and a new agreement and enrollment fee will be required to return to training at Peak Performance Justin.

A membership freeze does not pause, stop, shorten, or eliminate any financial or contractual obligations associated with the selected membership plan, and the membership term will be extended by the length of the freeze. A freeze request is not a cancellation, cancellations cannot be submitted or processed while a membership is frozen, and the membership must be reactivated and returned to active billing before a cancellation notice may be submitted.
Membership Cancellation

As per the agreement signed at enrollment, all membership plans require a minimum of 30 days written notice “Request for Membership Cancellation” prior to next billing date to ensure cancellation of recurring payments.

Cancellation requests submitted in less than 30 days to the next billing date will result in a final payment drawn from the member’s payment method on the established auto draft date. Once final payment has been drawn from a member’s payment method, the member will have the remaining time based on the “Plan” selected to use the facilities.

It is the member’s responsibility to provide written notice 30 days in advance of the next billing date. There will be no refund issued once a payment has been received from the members payment method provided.

Should member cancel/terminate agreement for any reason, member agrees to pay remaining balance due for the “Plan” selected.

To cancel this Agreement, you must provide a Formal Notice of “Cancellation”, either:

1. By email to fighter@streetjitsujustin.com,

2. deliver a signed and dated written notice of cancellation by personal delivery to the gym; or

3. by registered or certified mail to: Street Jitsu Justin 17515 Matany Road, Building 1, Suite 1200, Justin TX 76247 or current address of business.
You may use the following form below to request a change in Membership Status. This information will be sent via email to fighter@streetjitsujustin.com.

You should receive notification of this email as well.
I am requesting the following change to a Street Jitsu Justin membership:*
Yes
Yes
Student Name*
Student Contact Email*
example@example.com
Select date to initiate Cancellation of Membership?*

YearMonthDay
Year.Month.Day
Personal ScheduleNot for meOther
If "Other" selected, please provide details.
YES
Schedule date to initiate FREEZE of Membership?

YearMonthDay
Year.Month.Day
Schedule return date to END the FREEZE of Membership and return to training?

YearMonthDay
Year.Month.Day
Authorized Name*

First NameLast Name
Authorized Signature*

Clear
If you cancel your membership, an enrollment will be due if you wish to return to training at Street Jitsu Justin.

Or, you may FREEZE your membership for not more than 3 months.

There is a nominal fee ($25) charged each month your memberhsip is frozen.

The FREEZE fee must be scheduled.

The returning membership payment must also be scheduled.

You must agree to the scheduled payments.

Should a single payment be missed, the enrollment fee will be due if you wish to return.
Please request Cancellation of Membership!
Please understand that this is the very same Cancellation Policy that was agreed to on the Membership Agreement that was signed at enrollment.

You may request a copy of your Agreement at:

fighter@streetjitsujustin.com

Recurring billing will not be terminated until a written notice is received.

Select "Yes" if you do understand and wish to provide that written notice with this form.
Should be Empty:

Membership Status Change

You may use the following form below to request a change in Membership Status. This information will be sent via email to fighter@streetjitsujustin.com.