Name *

First Name

Last Name

Phone *

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I am requesting the suspension of my auto pay Monthly Unlimited Membership. I understand that a minimum of 10 days’ notice is required to process a suspension request and my 10 day notice is effective the date I submit this form to Hello@BarreWest.com. I agree that if I choose not to return to the studio at the end of my suspension period I am still obligated to the 6 month payment commitment in my contract and a cancellation form must be filled out to terminate my contract. *

Agree

I acknowledge I am eligible to place my membership on hold 1x per 12 month contract cycle. I understand a maximum of 30 days suspension is allowed within a 12-month period. *

Agree

A $30 administration fee is required to process all suspension requests. I agree to have this fee charged to my credit card on file upon activation of my membership suspension. *

Agree

While on suspension you will not be able to register for classes with your membership pass. Access to the Mindbody Online Library will be suspended until your membership reactivates. *

Acknowledged

You may email hello@barrewest.com to request class bookings for the week your membership reactivates. *

Acknowledged

I have read, fully understand and agree to the above. *

Agree