Membership Change Request

Use this form to request a freeze or change to your membership at our SOUTH BOULDER studio.

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

Are you currently a member of 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)

Membership Cancellation Request:

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

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!