Hamilton Park Fitness Membership Hold Form
What kind of Membership is this hold for?
*
Monthly Autopay Membership
Personal Training Sessions
Name:
*
First Name / Primer Nombre
Last Name / Apellido
Phone Number:
*
Please enter a valid phone number / Por favor ponga un numero valido
Email:
*
example@example.com / ejemplo@ejemplo.com
Reason for hold (optional):
Hold Start Date(Inclusive):
*
-
Month
-
Day
Year
Date / Fecha
Hold End Date(Inclusive):
*
-
Month
-
Day
Year
Date / Fecha
Holds cost $10 per month. Time is rounded up, so for example, if you want a 45 day hold you will pay $20 for two months. If you cancel your membership and decide to come back later you will have the option to retroactively pay $10 per month or pay the sign up fee, whichever is less. If you are not sure when you are coming back it might be simpler to just cancel your membership.
Today's Date:
*
-
Month
-
Day
Year
Date / Fecha
Signature:
*
Please verify that you are human
*
Submit
Should be Empty: