Member's Name
*
First Name
Last Name
Mobile
*
Please enter a valid phone number.
Email
*
example@example.com
Home Club
*
Please Select
Thornleigh, NSW
Alexandria, NSW
Chatswood, NSW
Select the Monday from which you want your freeze to start?
*
-
Day
-
Month
Year
If you select a Monday during a non billing week, we will set to the following Monday.
Length of Freeze (in weeks)
*
Please Select
4
6
8
10
12
Reason for freeze:
Holiday
Work or study abroad
Injury
Other (please specify)
By signing here, I acknowledge that my membership may be frozen for 2 or more consecutive whole fortnightly billing periods (a minimum of 4 weeks and a maximum of 12 weeks), and the freeze must cover the entire billing period. I understand that I will not be able to use any venue during the freeze period, and the freeze will pause the calculation of my Initial Commitment Period. No freeze fee applies. I also acknowledge that if I am found using the facility while my membership is on freeze, I will be fined $50 per visit.
*
Yes
Signature
Any additional information you'd like to share about your freeze?
Submit
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