Membership Hold Request Form

Membership Hold Request Form

This action is required to place a hold on your account
-6 month & 12 month memberships are eligible for holds (Not eligible for Summer Camp or ASP Programs)
-Membership cannot be placed on hold once a Cancellation notice has been given
-Please refer to the ISTKD website for further details on ISTKD Hold Policy
https://sites.google.com/ismartialarts.com/hold-requests/home
-We require minimum 72 hours advanced noticed to review and process Hold Request. Requests received less than 72 hours in advanced will be processed as soon as possible but without guarantee of matching the requested start date or preventing a scheduled billing.
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
-Holds must be a minimum of 30 days in length.
-More than one hold is permitted provided that the combined total of holds does not exceed 60 calendar days
-Hold request must be made 72 hours in advanced and cannot be backdated.
Hold End Date*

MonthDayYear
Date
Hold Start Date*

MonthDayYear
Date
Reason for Hold:*

Medical ReasonAnother SportFinancialOther
Any additional comments or concerns?*
Signature

Clear
Should be Empty: