Member Service Request

NEWBURGH | MIDDLETOWN

MEMBERSHIP FREEZE REQUEST

You must allow 5 business days for any freeze to go into effect. Any billing due between now and 5 business days from now will be processed.

The following rules apply to membership freezes:

1. You may freeze your membership one time per calendar year for any reason for a period of 1 to 6 months. You will not be billed your normal membership fees during the freeze period, but will incur a maintenance fee of $3/month.

2. You may freeze your membership for $0 maintenance fee for medical reasons or temporary relocation. To do so, do not submit this form. Please email your freeze request with a medical note or proof of relocation (or proof of travel) to your home club. You may also bring your documentation to either Gold's Gym location.

Newburgh members - email request to newburghinfo@goldsgymhv.com.

Middletown members - email request to middletown@goldsgymhv.com.

If you're choosing option 1 above and doing a maintenance freeze for $3 per month, please provide your information below and click SUBMIT. You will also receive a copy of this request via email for your records.

Please note that if your annual fee is due during your freeze period, it will be billed accordingly on the scheduled date.

Member Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Where did you purchase your membership?*

Gold's Gym NewburghGold's Gym Middletown

Are you a student who plans to use the gym over winter break '25-'26?*

YesNoN/A (I'm not a student)

Will you want to refreeze your membership after the winter break?*

YesNoN/A (I'm not a student)

Membership barcode or agreement # (if you know it):

How many months are you freezing (minimum of one month, maximum of 6)?*

Briefly share why you are freezing your membership.*

Please initial in the box below to acknowledge and accept your understanding of the following freeze terms:

1. I understand that I must allow 5 business days for my freeze request to go into effect. Any billing due between now and 5 business days from now will be processed.

2. I understand that I am requesting to freeze my Gold's Gym membership for the time requested above and that I will incur a maintenance fee of $3/month during the freeze period.

3. I understand that my membership will automatically come off freeze and resume normal membership billing at the time that either of the following occurs:

The freeze period I am specifying on this form comes to an end.
I check into the gym again prior to the end of my freeze period.

By initialing here, I accept these freeze terms and conditions.*

Initials