Membership Freeze and Cancellation Form
All freeze and cancellations will be active 30 days from received notice.
Member Details:
Do you have a single or Family Membership?
*
Single Membership
Family Membership
Primary Member Name
*
First Name
Last Name
Family Member
First Name
Last Name
Family Member
First Name
Last Name
Family Member
First Name
Last Name
Family Member
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Day of the month you are billed.
*
Please Select
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Would You like to Freeze or Cancel your membership?
*
Freeze
Cancel
Select Date you would like to Start your Freeze or Cancellation
*
-
Month
-
Day
Year
Per our membership terms and conditions. The soonest available date for freezes and cancellation's will be 30 days from today's date.
How long would you like to freeze your account?
*
Please Select
1 Month
2 Months
3 Months
Cancel Account
The minimum freeze length is 1 month and a maximum of 3 months per 12-month period. Membership freezes will resume after desired freeze length is reached. Please stop by the front desk to reactivate your membership if you wish return before freeze expires.
Reason for Freeze or Cancellation.
*
Will you be willing to recommend us?
Yes
No
Maybe
Suggestions if any for further improvement:
Signature
By signing above, you agree to the membership agreement terms and conditions that requires a 30 day notice for cancellations or freezes. The date of signing will be the start of the 30 day notice period. If there is a payment due during this period you will charged.
Continue
Continue
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