Membership Freeze Request
Member Name
*
First Name
Last Name
Email
*
example@example.com
Freeze my account starting on this Date:
*
-
Month
-
Day
Year
Date
How many months would you like to freeze?
*
1
2
3
Explain why you are needing to freeze your account? (medical, work, travel...)
*
Please explain
I understand that my account must be in good standing to qualify for a freeze
*
Yes
No
I understand that my membership will auto unfreeze after the freeze expires.
*
Yes
No
I understand that if I wish to resume my gym activities early before expiry of the freeze, I must notify the High Desert CrossFit staff so that my account can be unfrozen.
*
Yes
No
I understand that if I wish to cancel during or after my freeze, the regular cancellation policy and 30 day notice will apply.
*
Yes
No
I understand that I am only able to freeze my account (twice) per calendar year.
*
Yes
No
Member Signature
Submit
Submit
Should be Empty: