Temporary Hold Request Form
THIS IS NOT A TERMINATION REQUEST

1. As stated in your Clermont CrossFit Membership Agreement, you have the option to put your automatically recurring membership on hold for any reason.

2. Membership hold requests must be submitted no less than 3 business days before your upcoming renewal payment. All membership payments are non-refundable.

3. Membership hold requests are limited to 12 weeks per calendar year, in two week minimum and 3 month maximum increment requests. Upon expiration of the hold period that you request, your account will automatically reactivate and regular membership payments will resume. Your original agreement will be extended by the amount of time of the membership hold. If you choose to cancel your membership during the hold period, the standard 15 day cancellation notice requirement stated in your membership agreement is applicable. If you choose to reactivate your membership after it is cancelled, membership rates in effect at the time of reactivation will be applicable (membership rates are subject to change).

4. There is a $8 per week fee for Membership Holds.

5. Pre-paid Memberships expire based on the specified pre-paid period regardless of usage and cannot be put on hold.
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Email *

Full Name:

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Requested Start Date of Hold:

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Requested End Date of Hold:

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I understand that hold requests must be submitted no less than 3 days before my forthcoming scheduled non-refundable renewal payment. *

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Required

I understand that my non-refundable renewal payment will be processed if this request is submitted less than 3 days before my renewal date. *

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Required

I understand that if I cancel my membership during the hold period, the 15-day notice required by my membership agreement is still applicable.

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Required

I understand that membership agreements can be put on hold for a maximum of 12 weeks during a given agreement period and that hold period will extend my membership agreement duration for an equal period of time as the hold request *

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Required

I understand that membership agreements can be put on hold for a maximum of 12 weeks during a given agreement period and that hold period will extend my membership agreement duration for an equal period of time as the hold request *

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Required

I understand that my membership auto payments will automatically resume at the expiration of my requested hold date  *

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Required
We will reach out within 24 hours to confirm the amount due to process your request.
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