Membership Freeze Form

Membership Freeze Form​

Student Name *

First

Last

Parent Name (if applicable)

First

Last

Email *

Phone Number *

Which Studio Do You Attend? *EssendonWantirna SouthOnline

Reason For Freezing Your Membership

Freeze Start Date *

Freeze End Date *

I understand that I will be debited on the 15th Day of the month preceding the 'Freeze End Date' in anticipation of starting lessons again. *

• Yes I understand

Email

Submit