Time Extension Request Form

Time Extension Request Form

To make any changes such as 30-day hold or Summer Pause. Please fill out form with correct information, thank you.
Participant Name*

First NameLast Name
Buyer Name*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail*
the email connected to the account or email want receipt copies.
30-day Pause60-day PauseSummer Pause (June - Sept)Other - List reason in "Reason For Pause"
During your break, would you like to stay in the group chat or be taken off?
Furlough Policy: Membership hold

Please read the policy below and fill out the correct information.
To put your membership on hold, you must have an active membership and no outstanding balance on your account. Fill out the Time Extension Form at least 30 days before the billing cycle. If you miss this deadline, you will be billed for the next cycle before your hold period can begin.

The minimum hold period is 30 days, and the maximum is 90 days. If you need to pause for more than 90 days, please notify management at least 30 days before the pause date. If you need a 60-day leave for medical reasons, provide a doctor's note. For a medical pause, you are not required to pay one month's tuition. For a 60-day, 90-day, or summer pause, you are required to pay one month’s tuition to hold your account and then put it on hold.

If you place your membership on hold for more than 60 days, for summer pause, or for any other reason, you must pay one month's tuition before going on pause. Please submit the form 30 days before the billing cycle.

A 30-day or 60-day pause will extend your membership term. If, for example, you start a one-year commitment in September 2023 and choose to take a 30-day pause, your membership will be extended accordingly.
Reason for Pause*
In order to complete the Medical pause, please provide a medical note.

Cancelof
Start Date of Hold*

MonthDayYear
Date
End Date of Hold*

MonthDayYear
Date
Signature*
Once you submit your application, we will contact you shortly to complete your membership changes form.

Thank you!
Should be Empty:

Time Extension Request Form

Furlough Policy: Membership hold