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Fields
Freeze Form
mbo_id
mbo_unique_id
Your Full Name
*
First Name
*
Last Name
*
Mobile
*
Email
*
Your Home Club
*
Marrickville
Newtown
Surry Hills
The Bunker
At which location did you join?
What would you like to freeze?
*
Membership
Coaching
Creche
Please select all options that apply to you
How many weeks are you freezing your Membership?
*
2
4
Need more time?
Please note; all Freezes are in 2 week increments to align with the billing cycle.
How many weeks are you freezing your Coaching?
*
2
4
Need more Time?
Please note; all Freezes are in 2 week increments to align with the billing cycle.
How many weeks are you freezing your Creche?
*
2
4
Need more time?
Please note; all Freezes are in 2 week increments to align with the billing cycle.
Do you need more time? If so, tell us how many weeks here and we'll see how we can help you. The maximum time is 12 weeks.
*
Typically, we offer 4 freeze weeks per calendar year. Any additional time required incurs a small administration fee of $3 per week.
Why would you like to Freeze your Coaching?
*
I have unused Coaching Credits to catch up on
My Coach is unavailable
Other (includes Holiday, injury, financial and more)
Your Marrickville Coach Name
*
Select a Coach
Achilles Byrne
Aleksander Leyland
Alexander (Olek) Cieslak
Alexander Hobbs
Blanche Beatty
Bree Chadory
Brooke Jenkins
Can Cui
Cosette Jackson
Dilawar Khan
Emmanuel Suarez
Erica Maroun
Hanna Riley
Ilena Susup
Jacqueline Marinkovic
Jenny Duncan
Jlenia Sagaria
Joey Dalisay
Josh Bartolotto
Josh Taylor
Joshua Stepkovitch
Luciano Terilli
Matthew Cordelle
Matthew McCormick
Mihelca Gustin
Nikki Erdos
Oliver Hobbs
Orlando Vieira
Patrick Chetham
Phillippa Laws
Robbie Durrant
Roberta Perriello
Shane Millward
Sharan Raja
Steve Marinakis
Tennessee Dee
Tom Halsey
Vesna Gorgieva
Zoe Papalexandris
Assign to PTM
No Complimentary Session
Ex Personal Trainer
Marrickville
Your Newtown Coach Name
*
Select a Coach
Alex Dos Santos
Amie Hession
Andrea van Houten
Andrea Vidotto
Barry O'Sullivan
Beckie Brown
Corentin Clarigo
Cosette Jackson
Daniel Antonios
Eduardo Rotiroti
Enif Alvarez Bravo
Gustavo Barbosa
Jack Bowen
Jack Corbett
Jesse Mazzotta
Kylie Jackes
Laura Butler
Liam McQuinn
Luke Tebbutt-Russell
Madeleine Gurton
Matt Duncan
Matthew Williams
Mehdi As Salih
Micaela Andino
Nathan Newman
Orland Morell
Rauraidh Purnell
Romana Moravcikova
Sarah Marchant
Simon Gander
Steven Kapellos
Suvi Veijonen
Tazz Leapai
Assign to PTM
No Complimentary Session
Ex Personal Trainer
Newtown
Your Surry Hills Coach Name
*
Select a Coach
Ariel Comeau
Ben Gillies
Billy Thornhill
Chloe Squires
Chris Mavros
Cosette Jackson
Daniela Areco
Gemma Lewis
Hamish McShane
Jacqueline Thomson
James Deacy
Jamie Reeson
Jennifer Irvine
Jennifer Webb
Jose Da Rocha
Joseph Bowling
Juan Arena
Julian Hooper
Matt Duncan
Matt Walsh
Mel Spencer
Natalie Woods
Raymond Bishop
Rob Knee
Robert McDonald
Sam Heseltine
Samuel Norton
Stephanie Conlin
Assign to PTM
No Complimentary Session
Ex Personal Trainer
Surry Hills
Your Bunker Gym Coach Name
*
Select a Coach
Alessandro Sciamanna
Angela Aho
Carlos Oliveira
Connaugh Pearce
Cosette Jackson
Harrison Lee
Henry Boggie
Ian Godfrey
Jasmeen Hudson
Jennia Klimenkova
Joey Brouwer
Jordan Lewis
Joseph Bowling
Liam Dinan
Matt Duncan
Matt Gardner
Michael Pratomo
Molly Morgan Cunningham
Ngoc Tran
Tom Bellak
Assign to PTM
No Complimentary Session
Ex Personal Trainer
The Bunker
When would you like to start your Freeze?
*
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Year
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2028
2029
Please note, your freeze start date cannot be prior to your submission request date.
Week to Day calculation: Membership
Week to Day calculation: Coaching
Week to Day calculation: Creche
Membership Return Date:
*
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Should you wish to return earlier, please contact us prior so that your account can be reactivated. Please note, your payments will automatically resume after this date.
Coaching Return Date:
*
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May
Jun
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Aug
Sep
Oct
Nov
Dec
Year
2024
2025
2026
2027
2028
2029
Should you wish to return earlier, please contact us prior so that your account can be reactivated. Please note, your payments will automatically resume after this date.
Creche Return Date:
*
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Month
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Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2024
2025
2026
2027
2028
2029
Should you wish to return earlier, please contact us prior so that your account can be reactivated. Please note, your payments will automatically resume after this date.
*
By signing this form, you acknowledge to allow 72 hours (3 days) for your freeze request to be actioned. You acknowledge that you may be charged if requested within 72 hours of your next scheduled direct debit payment. In this instance, your freeze will be backdated and your account will be prorated. You also agree that your membership and/or PT fees are up to date and any overdue arrears will need to be processed prior to the approval of your freeze request.
Member Signature
*
[clear]
Use your mouse or finger to draw your signature above
Is there any additional information you'd like to share regarding your freeze?
Freeze Form: Membership Team to Complete
Freeze Request Outcome
*
Request Approved
Request Denied
Fees Waived
Current Outstanding Amount Payable
A$
Approved Membership Return Date
*
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Year
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2020
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2029
Next Coaching Payment Date
*
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Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Approved Creche Return Date
*
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Day
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Month
Jan
Feb
Mar
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May
Jun
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Oct
Nov
Dec
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Your Fortnightly Freeze Fee is:
*
A$
*Note: Amount to be debited in $6 fortnightly increments during the membership freeze.
Total Complementary Weeks
*
Notes
Relationship Managers
*
Select a Relationship Manager
Alexander Wennerstrom
Alexandra Hooker
Amelia Filip
Caroline Windridge
Cosette Jackson
Daniel Rodrigues
Dan Bowden
Darren Palteng
Emily Lopez
Eloise Sutton
James Abboud
Jesse Mazzotta
Kareim Afif
Kyle McBride
Lara Teden
Liis Paeste
Lily Fitzgerald
Louise Wendel Borsos
Lyndsay McBride
Ned Zell
Milou Bastings
Petrus Brink
Quintin Venter
Sam Bruton
Sammi Leung
Samuel Monteforte
Sarah Jancewicz
Sarah Walmsley
Sophie Highmore
Taine Conway
Tristen Cassar
Victoria Ashley
Zoe Downing
Xenia Varoufaki
Organised by Coach
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