First and Last Name
Suspension Start Date - Must coincide with payment dates
Additionally, please keep in mind that we do request that you give us 2 weeks notice to set this up. We don't have staff in every single day, and don't want to overwhelm their workload. Ample time is healthy for everyone!
How long will your membership be on hold for?
Please note that holds must coincide with your billing date. Example: if your billing date is the 5th of each month, your hold will start on that date. This will ensure ease of billing in the future.
LiveWELL Member - 30 days
LiveWELL Member - 60 days
LiveWELL Member - 90 days
Sunrise Member - 30 days
Sunrise Member - 60 days
SunRISE Member - 90 days
Reason for suspension
Do you understand that if you place a LiveWELL Membership or Sunrise Membership on hold, your Credit Card will be charged the admin fee associated with your contract? If you have a Be Awesome membership, you are allowed to hold your pass for a maximum of one month per calendar year. Basic Members and LiveWELL Prepaid Memberships do not have the capacity to place their pass on hold. If you are unsure which membership you have, or what your options are, you can see your contract at anytime by signing into your mindbody account. Click the following URL for access mindbody
Once you have signed in, click on "Info" and "documents" to see your contract.
Yes I understand
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Yoga Lab Westshore.