Membership Change/Hold Form
Do you need to make a change to your membership? We’ve got you covered! 

This form is to change or place your membership on a hold! 

Changes: You may request an upgrade/change to your membership at any time during your billing cycle. Upgrades may be changed again after a minimum of one month. 
Holds: Need to take a break from classes for a bit? You may pause your membership for up to four months per year (separate or consecutive months), so there is no loss due to vacation, holiday travel or when another baby arrives. There is a one month minimum for each hold placed.

You must request your hold at least ONE WEEK in advance

Email kelseysorenson@fit4mom.com with any questions.
Sign in to Google to save your progress. Learn more
First and Last Name *
Email *
Which plan would you like to switch to?  *
When would you like your NEW plan/ hold to begin?  *
Date requested must be at least 24 hours after the time form is submitted. 
MM
/
DD
/
YYYY
HOLDS: When would you like your hold to end? 
Charges to your account will automatically resume once your hold ends, and at that time you may resume attending classes. You may not attend class while your account is on a hold. There are no refunds or credits on charges already incurred. 
MM
/
DD
/
YYYY
Do you accept the hold fee to be processed on your pike13 account?  *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of FIT4MOM. Report Abuse