Suspension Request Form
Membership Suspensions are available for one month and can be activate no more than twice per calendar year. Each month long suspension incurs a $15 administration fee. Suspensions will automatically lift thirty days after they are set and the payments will resume.
Confirmation of your request may take 3-5 business days. Thank you for your grace and understanding as we continue to operate with reduced staff.
Please provide the following information to place your request:
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First and Last Name
Suspension Start Date
Reason for Request
Do you authorize the $15 administrative fee for this thirty day suspension?
No, I have a doctor's note restricting my activities (email doctor’s note to
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Modo Yoga Seattle.