Membership Suspension Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Do you agree to the terms below?* This field is required.Terms:1. Must give 3 days notice to suspend. 2. No backdated suspensions will be accepted. 3. Minimum term for suspension is 1 week. Maximum term is 6 weeks in a 12 month period. Suspensions in excess of that may incur a weekly fee of $10. 4. Membership payments must be up to date.
4
Phone Number* This field is required.
Area Code
Phone Number
5
Suspend From* This field is required.When would you like your suspension to start?
6
Suspend To* This field is required.This is the last day you are away.
7
Reason for suspension* This field is required.
Holiday
Work
Injury
Illness/Medical
Trying something else, please call me about my current training asap.
Taking a break, please call me about why I need to take a break
Inconvenience preventing me from coming that I am super bummed about eg no car
8
Signature* This field is required.
Should be Empty: