Membership Freeze Request Form

Membership Freeze Request Form
A member has the option to freeze their membership for a minimum of 30 days to a maximum of 60 days. A member can only suspend their account up to 2 x per year (60 day increments In the event that you must re- suspend your membership, one EFT must process before a secondary suspend is granted. Upon the studio processing this form your membership will be in a suspension status. The benefits of suspending your membership include:
- No forfeiture of unused classes
- You will not be charged your full membership rate during your freeze period
- You can pick up where you left off once the membership is unfrozen
While your membership is suspended you will be charged a monthly freeze fee of $15 on your EFT date and you will not receive member benefits. Once your membership reaches the unsuspend date you will continue to bill at your regular membership rate. You may not retroactively suspend your membership. In the event you wish to cancel your membership, you must abide by the 30 day cancellation policy.
Studio*

WacoCedar HillShreveportHarker Heights
Today's Date*

MonthDayYear
Date
Member Name*
Membership Type
Phone Number*
Email*
example@example.com
Address
Requested Suspension Date*

MonthDayYear
Date
Requested Unsuspension Date*

MonthDayYear
Date
Reason for Membership Suspension*
Member Signature*

Clear
Date

MonthDayYear
Date
To Be Completed by Studio:

Enter and Verify in MBO:

Monthly Freeze Fee has been entered (Term Suspension Fee) D
Membership Freeze Date

MonthDayYear
Date
Membership Unfreeze Date

MonthDayYear
Date
Next EFT to be billed after Unsuspended
Manager Approving Suspend
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: