Flex Fitness Suspension Form

Club Location*
Name*
First Last
Email*
Phone
Reason for suspension
Suspension Start Date*
DD slash MM slash YYYY

Select the date that you want your suspension to start from.
Suspension End Date*
DD slash MM slash YYYY

Select the date that you want your suspension to end. Note: the suspension ends at midnight on the day you select. We recommend selecting the day BEFORE you want to start training again.
Consent*
I REQUEST A SUSPENSION OF MY MEMBERSHIP AND AGREE TO SUSPENSION TERMS BELOW
REQUESTING A MEMBERSHIP SUSPENSION

• Minimum of one month and a maximum of three months (each 12-month calendar year)
• Must have an end date
• Supporting medical certificate or travel documentation provided
• I acknowledge that for every week my membership is suspended, this extends the projected end-date of my minimum term by the same number of weeks.
• A weekly suspension fee of $5 may be charged and collected by Debitsuccess

These conditions are subject to the discretion of club management.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

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