CAMP INNER PEAKS 2014
9535 Monroe Rd., Ste 170 Charlotte, NC 28270
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/ Membership Freeze Request
Membership Freeze Request
MEMBERSHIP FREEZE REQUEST
I am hereby requesting that the Membership and/or Team session(s) be frozen as indicated below.
Membership Account Full Name
Please enter the name of the Primary Membership Account Holder
Please select what service you wish to Freeze .
Team Session ONLY (No applicable fee)
BOTH Membership and Team Session
Place an "X" before requested Freeze month(s)
[ ] January [ ] May [ ] September [ ] February [ ] June [ ] October [ ] March [ ] July [ ] November [ ] April [ ] August [ ] December
I UNDERSTAND THAT:
• I am eligible to Freeze my membership for an unlimited number of calendar months during my membership year. (Not applicable for 3-month Prepay Membership)
• TEAM ONLY: I am eligible to Freeze my TEAM session(s) only 3 consecutive months before being removed from the Team session roster. Should I wish to continue a team session, actual session availability will be determined at that time.
• I will not be billed membership dues for the month(s) nor will I have to pay a membership fee to restart my membership.
• My Freeze(s) is not effective until a Freeze Request has been submitted.
• A $10/month Freeze Fee applies and will be collected in lieu of my monthly membership draft for Monthly and 6-Month Contracts; Prepay memberships must pay the Freeze Fee up front.
• There is NO fee to freeze a Team session.
• Freeze Request and applicable fee for Prepays, must be submitted and received by the 20th of the month prior to requested freeze month(s) to be honored.
• I may climb when my Membership is Frozen by paying regular daypass & rental fees.
• I can THAW my Membership at any time by paying the regular Monthly Dues in full, and I will be refunded the $10 Freeze fee for said month.
• Freezing my membership is NOT to be construed as termination of my membership or Team session.
• If I elected the 6-Month Contract option and have not fulfilled my contract obligation, I understand that to fulfill my contract, my obligation will be extended one calendar month per month of Freeze.
Please acknowledge terms by entering your name. If membership account name and date of birth do not match, this Freeze Request will be voided.
Accountholder Date of Birth (mm/dd/yyyy)
Please enter primary account holder's date of birth.
Please enter primary account holder's email address for confirmation.
Please provide a contact phone number.
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