Training Freeze Request
Staff Name
*
Please Select
Ally Beynon
Courtney Con
Cyndi Hall
Edward de Vries
Jan McKinnon
Jolene de Vries
Kristen Jonassen
Matthew Erickson
Member Name
*
First Name
Last Name
Email
*
example@example.com
Date Freeze to Commence
*
-
Month
-
Day
Year
Date
How many weeks would you like to freeze?
*
2
4
6
Other
Why would you like to freeze?
Medical Note Provided
*
Yes
No
Will you be travelling during the freeze?
*
Yes
No
If yes, where are you travelling too?
Please explain
I understand that my account must be in good standing to qualify for a freeze
*
Yes
No
I understand that if I wish to resume my training 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
File attached (such as medical proof)
Browse Files
Cancel
of
Member Signature
Submit
Should be Empty: