Membership Freeze Request

Note: Please do not make requests more than 30 days prior to your freeze start date.

Name of Member *

First

Last

Email of Member *

Who is your group leader? *

First

Last

I am freezing my membership because:

Medical
Family loss/emergency
Extended travel
Other

Please freeze my membership starting: *

Duration (min 2 weeks | max 8 weeks) *

I understand that by freezing my membership I will not be able to attend my group until the period of my freeze ends. Furthermore, I recognize that by freezing my membership I am maintaining my spot in the group and my access to the Live Free Community. *

Agreed

I understand that after the freeze period billing will resume automatically without further notice. Furthermore, I understand that a written cancellation request is required to prevent further billing if you are not able to continue after the freeze period. *

Agreed

Name

Membership Freeze Request

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