REASONS FOR MEMBERSHIP FREEZE REQUESTED:
Please note: If either medical or transferred out of town for
business are checked an employer/physician written verification must be attached to this form.
The written verification for medical, should include information from the Doctor stating you are not able to use the club due to medical reasons (does not need to specify condition). The document should state the length of time needed for the freeze.
The written verification for transferred out of town for business, should include information stating you will be relocating due to work and stating the city, state, and length of time needed for the freeze.