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*
Email*
example@example.com
What is the main reason for pausing your membership?*

MedicalHolidayCommitmentsOther
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?*

9:30 Session6am Sessions6pm SessionsPersonal TrainingOther
Full Name (in place of signature)*

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

Baravi Fitness