M360 Schedule Change Request
Please list any days you plan to be away from your training groups. Any days submitted by the 25th of the previous month of greater than 1 week duration will be credited at $15 per session missed based on 12 sessions for 3 times per week clients and 8 sessions for 2 times per week clients. The date you submit the request will be automatically captured in the database.
Name *
(Last, First)
Your answer
E-Mail *
Enter your E-mail
Your answer
Phone Number *
Enter your Phone Number
Your answer
Family Members *
Include any family members that will also be missing classes at these times
Your answer
Regularly scheduled appointment *
Ex: (MWF @ 8:00 AM) - for each person
Your answer
Dates Away
Ex: (12/21 - 12/25) - for each person
Your answer
End of Service Date
Enter date you will be discontinuing service here.
Your answer
Submit
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