You can always press Enter⏎ to continue
Maintain Your Infinity Membership
Need a little break and want to pause your payments?
START
1
Member Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Submit
Press
Enter
2
Email
*
This field is required.
Must be associated with your MindBody account.
example@example.com
Previous
Next
Submit
Submit
Press
Enter
3
Phone Number
*
This field is required.
Must be associated with your MindBody account.
Area Code
Phone Number
Previous
Next
Submit
Submit
Press
Enter
4
Type of Membership Change
*
This field is required.
*Cancellations will result in loss of current pricing moving forward. Early terminated fee may apply.
Hold Please (Freeze Payments)
Cancel (Contract Buy-Out)*
Previous
Next
Submit
Submit
Press
Enter
5
Length of Hold
*
This field is required.
As Infinity Members, you can request an unlimited number of suspensions on your membership. Suspensions ensure you keep your current rate at renewal times. Suspensions must be for a minimum of 1 month and a maximum of 4 months.
Please Select
1 Month
2 Months
3 Months
4 Months
Please Select
Please Select
1 Month
2 Months
3 Months
4 Months
How long will you be away?
Previous
Next
Submit
Submit
Press
Enter
6
Hold Start Date
*
This field is required.
Hold requests require a 48-hour notice and a one-time $25 hold fee.
Upcoming payments scheduled within this period are still due and all pre-paid days will be available for practice when your hold lifts, the result may change your future payment due dates.
Holds cannot be processed retroactively.
A valid card must be on file to proceed as holds can only be applied to accounts without balances, therefore outstanding fees will be collected during the hold process. Confirmation emails will be sent when scheduling is complete.
Please Select
Immediately (all payments remain due for the next 48 hours - see above)
January
February
March
April
May
June
July
August
September
October
November
December
Please Select
Please Select
Immediately (all payments remain due for the next 48 hours - see above)
January
February
March
April
May
June
July
August
September
October
November
December
When do you want your hold to start?
Previous
Next
Submit
Submit
Press
Enter
7
Reason for Hold
*
This field is required.
Please Select
Time/Usage
Financial Hardship
Holiday
Medical
Other
Please Select
Please Select
Time/Usage
Financial Hardship
Holiday
Medical
Other
Please select one.
Previous
Next
Submit
Submit
Press
Enter
8
By cancelling your membership, you'll also lose access to:
Previous
Next
Submit
Submit
Press
Enter
9
We wanted to first say thank you for laying your mat with us and our community.
Are you sure you want to cancel?
*
This field is required.
It's not too late!
Wait, can you waive my hold fee, I just need some time.
Yes, I'm ready. Let's cancel.
I love Samatva, do you offer rate changes?
Previous
Next
Submit
Submit
Press
Enter
10
Please share you reason for leaving
*
This field is required.
Classes weren't what I needed
I'm just taking a break, I'll be back!
I'm a beginner and found it challenging
My membership fees were too expensive
Wasn't using it enough to pay for membership
Moving/moved
Unhappy with facility
Other
Previous
Next
Submit
Submit
Press
Enter
11
Please offer us some feedback
*
This field is required.
Educator Knowledge
Cleanliness
Responsiveness
Friendliness
Membership Cost
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Educator Knowledge
Cleanliness
Responsiveness
Friendliness
Membership Cost
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Previous
Next
Submit
Submit
Press
Enter
12
How likely are you to return?
*
This field is required.
1
2
3
4
5
No Chance!
Absolutely will!
Previous
Next
Submit
Submit
Press
Enter
13
Anything else you'd like to share about your experience?
We would love to hear from you more specifically.
Previous
Next
Submit
Submit
Press
Enter
14
I understand that by proceeding I will lose access to the studio + its services, my current rate moving forward, Samatva Perks + $Rewards, and all features associated with my membership on my next billing date.
*
This field is required.
It's not too late!
WAIT, I'll HOLD instead
YES, cancel my account
Previous
Next
Submit
Submit
Press
Enter
15
Wait!!! You can continue your Samatva Yoga membership for only $45/month!
Get your next year of Samatva Yoga classes today and enjoy 58% off to continue taking care of your wellness with Samatva for
just $45 per month.
For just $1.50 per day, keep your access to our studio classes, online library, live streaming all taught by Kingston's leading teachers. (scroll image for more details)
Previous
Next
Submit
Submit
Press
Enter
16
$45/Month Annual Infinity Membership: This offer is provided as a coupon charged today, which will be applied to your next renew date.
*
This field is required.
Would you like to proceed with this new rate? If so, click yes. If not, click no.
YES
NO
Previous
Next
Submit
Submit
Press
Enter
17
Were you thinking of shifting to a Class Card?
*
This field is required.
If you are more of a casual student, here are some specials you may enjoy.
20 Class Card | $175 ( Save $105)
5 Class Card | $50
No thanks, I don't want to save $$$
Previous
Next
Submit
Submit
Press
Enter
18
Cancellation Intention
*
This field is required.
Clicking submit will provide Samatva with my intention to terminate. Cancellations will be completed within 48 business hours with a confirmation email to follow.
Yes, I understand
Previous
Next
Submit
Submit
Press
Enter
19
Your Infinity Membership Terms
*
This field is required.
You can see your contract at any time by signing into your MindBody account. Once you have signed in, click on "Info" and "Account" to see your contract.
Yes, I understand
Previous
Next
Submit
Submit
Press
Enter
20
Member Signature
*
This field is required.
Once submitted, you will receive a copy of this form. Please retain it for your records. Membership changes will be confirmed and emailed to you by the studio.
Powered by
Jotform Sign
Clear
Previous
Next
Submit
Submit
Press
Enter
Should be Empty:
Question Label
1
of
20
See All
Go Back
Submit
Submit