Membership Change Request

Use this form to request a freeze or change to your membership at our Boulder (30th Street) studio.

Are you currently a member of Longmont? Use this form instead.

Are you currently a member of South Boulder? Use this form instead.

Name

First Name

Last Name

Phone

(###)

###

####

Would you like to freeze your membership at no cost?

Yes, I'd like to Freeze My Account!

No, I'd like to Cancel

Membership Freeze Request:

How long would you like your hold to be? (If canceling your membership, please skip)

When would you like your hold to begin? (If canceling your membership, please skip)

Cancellations:

Please share your reason for cancelling your membership (if requesting a freeze, please leave blank).

Additional Comments:

What can we improve upon to enhance your experience? Please add any further comments and thank you for your support of Yoga Pod!