Cedardale Health & Fitness General Hold Form

Please complete the form below. All hold requests are subject to bookkeeping approval.

First Name

Last Name

Address

City

Phone

Email Address

Is this for a Couple or Family Membership?

Yes

If Couple or Family, are Both Adults Going on HOLD?

Yes

If No Please Indicate Name of Adult Going On HOLD

Start Hold Date

End Hold Date (min 2 mths / max 3 mths)

By submitting this form you are guaranteeing that the information you have submitted is accurate, that your intent is to put your membership on hold on the dates indicated, and that you understand your account will be charged the $30 hold fee (exception Snowbird and Medical Holds - no fee). Your membership will automatically restart at the end of this hold period.

* Bold Fields are Required