Membership Freeze Request
Member Name
*
First Name
Last Name
Email
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
How many weeks would you like to freeze?
*
2
4
6
12
Why would you like to freeze?
*
Please explain
I understand that my account must be in good standing to qualify for a freeze
*
Yes
No
I understand that I will not have access to Anytime Fitness during the freeze and my membership will auto unfreeze after the freeze expires.
*
Yes
No
I understand that if I wish to resume my gym activities early before expiry of the freeze, I must notify the Anytime Fitness Staff to my account can be unfrozen.
*
Yes
No
I understand that if I wish to cancel during of after my freeze the regular cancellation policies will apply.
*
Yes
No
Member Signature
Submit
Should be Empty: