Suspension Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Membership Type
*
Student
Staff / Alumni
Other
I understand that I get 30 days free suspension per calendar year. After this, I will be charged $10 per month to suspend my membership.
Yes I understand
No I need more information
Reason for suspension
Holiday
Placement
Lost motivation
Injury
Other
Please enter your suspension start date
*
-
Month
-
Day
Year
Date Picker Icon
Please enter your suspension return date
*
-
Month
-
Day
Year
Date Picker Icon
Any additional notes
Upload medical certificate - to receive free suspension.
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