Membership Freeze Request
Member Name
*
First Name
Last Name
Email
*
Current Date
*
-
Month
-
Day
Year
Date you'd like freeze to begin (minimum 30 days from today)
*
-
Month
-
Day
Year
Date
How many months would you like to freeze?
*
1
2
3
Reason for freeze?
*
I understand that my account must be in good standing to qualify for a freeze
*
Yes
No
I understand that I will not have access to Bolt Fitness during the freeze and my membership will auto unfreeze after 3 months or once the freeze expires. (You can drop in for $15 per class during your freeze)
*
Yes
No
I understand that if I wish to start my membership before the freeze expires, I must notify Bolt Fitness to have my account unfrozen.
*
Yes
No
I understand that if I wish to cancel during or after my freeze I must continue my membership for at minimum one month before the regular cancellation policies will apply.
*
Yes
No
I understand that my membership will be extended by as many months as the length of my freeze.
*
Yes
No
I understand that each additional month after a 3 month freeze will incur a fee of 50% of my monthly bill.
*
Yes
No
Member Signature
Submit
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