Membership Pause Request Form

Baravi Fitness

Membership Pause Request
Date pause comes into effect (min 14 days notice)

DayMonthYear
Date
First session back (Pause max of 30 days)

DayMonthYear
Date
Name

First NameLast Name
Phone Number
Format: 0000-000-000.
Email
example@example.com
What is the main reason for pausing your membership?

Other
Additional Notes
I hearby certify that I wish to pause my membership with Baravi Fitness. I understand that fees are deducted 14 days in arrears therefore I may have a deduction after the pause comes into effect. I understand that I am responsible for any billing that will occur during the membership pause.

I understand the pause request will be confirmed by email on receipt of this form. Please contact us via email if you have not received a response within two days of submission.
Which Baravi Sessions are you booked in for?

Other
Full Name (in place of signature)

First NameLast Name
Internal Use Only
Additional Notes
Should be Empty:

Baravi Fitness