Membership Freeze Authorization

During a membership freeze, you will be considered inactive. Therefore, you will not be eligible to participate in programs or utilize the facility without additional fee.

Name *

First

Last

Email *

Date you would like to start your membership freeze *

15 day notice required.

Date you would like to resume your membership *

Freeze may last up to four months in a calendar year at no charge. Your payment method on file will be charged automatically on the above restart date

Are you a Health Center Member *

• Yes
• No

I understand that once I freeze my membership, I will surrender my current locker and once my membership restarts a new locker will be assigned to me *

• I understand

Signature *

Clear Signature

Submit