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Membership Pause Request

First Name *

Last Name *

Phone *

Email *

Are you pausing yourself or your child? *

Me

My Child

Name of child pausing

Which location are you pausing? *

Which location are you pausing?

East Victoria Park
Forrestdale
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Pause Request reason *

Holiday

Injury

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Covid

Work Commitment

Study Commitment

Suspension Start Date *

First date you will return to class *

I agree that the pause date is at least 7 days in advance and can only be applied in 7 days increments to my account. *

Yes

I understand there is a $5 weekly pause fee *

Yes

Pause Notes

CrossFit Journal

CrossFit Gym in East Victoria Park

PROGRAMS

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ABOUT

FORRESTDALE

ADDRESS

12 Haydock St, Forrestdale

WA 6112

FORMS

EAST VIC PARK

ADDRESS

Unit 7/5 Milford St, East Victoria Park

WA 6101

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