Membership Freeze Request Note: Please do not make requests more than 30 days prior to your freeze start date. Please enable JavaScript in your browser to complete this form. Name of Member * First Last Email of Member * Who is your group leader? * First Last I am freezing my membership because: Medical Family loss/emergency Extended travel Other Please describe reason: * Please freeze my membership starting: * Duration (min 2 weeks | max 8 weeks) *2 weeks3 weeks4 weeks5 weeks6 weeks7 weeks8 weeks I understand that by freezing my membership I will not be able to attend my group until the period of my freeze ends. Furthermore, I recognize that by freezing my membership I am maintaining my spot in the group and my access to the Live Free Community. * Agreed I understand that after the freeze period billing will resume automatically without further notice. Furthermore, I understand that a written cancellation request is required to prevent further billing if you are not able to continue after the freeze period. * Agreed Comment Submit