Name *

First Name

Last Name

What date would you like your membership to be cancelled or put on hold? *

A two-week notice is required for any cancellation. Any invoices scheduled to charge within that two week window will be billed in full. Holds must be submitted no less than 5 business days before the next scheduled invoice.

MM

DD

YYYY

If requesting a hold, what is your return date to the gym?

Remember: holds may be issued in 1, 2, or 3 month periods. Max hold time is 90 days per calendar year.

MM

DD

YYYY

By checking 'yes', I understand that submitting this form doesn't automatically cancel or hold my membership. I also understand that a staff member will reach out to me to follow up, and that my request is subject to our affiliate's policies and procedures, linked above. *

Yes