Membership Hold Request Form

PER MEMBERSHIP AGREEMENT | You have the option to put your automatically recurring membership on hold for any reason. Membership hold requests must be submitted no less than fourteen business days before your next billing cycle. All membership payments are non-refundable. LIMITS – Membership hold requests are limited to one hold per calendar year in two week increments for a MAXIMUM OF 60 days. Upon expiration of the hold period, your account will reactivate automatically and regular membership payments will resume. If you chose to cancel your membership during the hold period, the standard 4 week cancellation notice requirement stated in this membership agreement is applicable.

First Name

Last Name

Phone

Pause Start Date

Resume Date

Message

Acknowledgement

I understand that PER OUR MEMBERSHIP AGREEMENT, a HOLD of membership requires a notice of 14 Business days to avoid upcoming billing cycle. All HOLDS within that timing window will still be billed per MEMBERSHIP AGREEMENT, and HOLD will be executed with following billing cycle.

Acknowledgement

LIMITS - Membership hold requests are limited to one hold per calendar year in two week increments for a MAXIMUM OF 60 days.

Acknowledgement

Upon expiration of the hold period, your account will reactivate automatically and regular membership payments will resume.

Acknowledgement

If you chose to cancel your membership during the hold period, the standard 4 week cancellation notice requirement stated in the membership agreement is applicable.

Middle Path CrossFit

confident

strong

capable

Membership Hold Request Form