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Fields
Freeze Form
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
*
Please Select A Trainer
Achilles Byrne
Alan English
Alexander (Olek) Cieslak
Alexander Hobbs
Ashleigh Walden
Ashley Clancy
Ben Fraser
Blanche Beatty
Bree Cordery
Brooke Jenkins
Can Cui
Cristina Ramon
Diliwar Khan
Emmanuel Suarez
Erica Maroun
Hanna Riley
Ilena Susup
Jacqueline Marinkovic
Jenny Duncan
Jlenia Sagaria
Joshua Stepkovitch
Josh Taylor
Joey Dalisay
Josh Bartolotto
Katia Cheloudtchenko
Luciano Terilli
Matthew Cordelle
Matthew McCormick
Milhelca Gustin
Oliver Hobbs
Orlando Vieira
Robbie Durrant
Roberta Perriello
Shane Millward
Sharan Raja
Sienna Egan
Steve Marinakis
Tennessee Dee
Tom Halsey
Vesna Gorgiev
Zoe Papalexandris
Assign to PT Manager
Marrickville
Your Newtown Coach Name
*
Please Select A Trainer
Alex Dos Santos
Amie Hession
Andrea Vidotto
Barry O'Sullivan
Corentin Clarigo
Daniel Antonios
Eduardo Rotiroti
Enif Alvarez
Ellana Smyth
Gustavo Barbosa
Jack Bowen
Jack Corbett
Joao Pedro Silber Popak de Oliveira
Jesse Mazotta
Ken Nguyen
Kylie Jackes
Laura Butler
Liam McQuinn
Lisa Koivunen
Luke Tebbutt-Russell
Soroush Golru
Madeleine Gurton
Maheen Bhutta
Mehdi As Salih
Mia Allen
Micaela Andino
Natalie Saia
Nathan Newman
Nicholas Gardner
Orland Morell
Rauraidh Purnell
Rebecca Brown
Suresh Shrestha
Simon Gander
Steph Thomas
Steven Kapellos
Suvi Veijonen
Tazz Leapai
Assign to PTM
Former PT
Newtown
Your Surry Hills Coach Name
*
Please Select A Trainer
Ariel Comeau
Ben Gillies
Billy Thornhill
Chantelle Danic
Chris Mavros
Cosette Jackson
Daniela Areco
Gemma Lewis
George Hamblin
Hamish Mcshane
Jacqueline Thompson
Jamie Reeson
Jennifer Irvine
Jose Da Rocha
Juan Arena
Julian Hooper
Katie Pitts
Luc Tracey
Matt Duncan
Matt Walsh
Mel Spencer
Natalie Woods
Raymond Bishop
Rob Knee
Robert Mcdonald
Samuel Norton
Somerset Pierce Harvey
Stephanie Conlin
Assign to PTM
Surry Hills
Your Bunker Gym Coach Name
*
Please Select A Trainer
Alessandro Sciamanna
Angela Aho
Carlos Oliveira
Connaugh Pearce
Harrison Lee
Henry Boggie
Ian Godfrey
Jackson Mayer
Jasmeen Hudson
Jasmin Rainbow
Jordan Lewis
Jennia Klimenkova
Joey Bowling
Joey Brouwer
Matt Gardner
Molly Morgan Cunningham
Ngoc Tran
Tammy Green
Tom Bellak
Tom Halsey
Assign to PTM
The Bunker
When would you like to start your Freeze?
*
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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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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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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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Next Coaching Payment Date
*
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Approved Creche Return Date
*
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Your Total Membership Freeze Amount is:
*
A$
*Note: Amount to be debited in $6 fortnightly increments during the membership freeze.
Total Freeze Fees Waived
*
A$
Notes
Relationship Managers
*
Select a Relationship Manager
Alexander Wennerstrom
Alexandra Hooker
Amelia Filip
Chantelle Danic
Cosette Jackson
Daniel Rodrigues
Dan Bowden
Darren Palteng
Emily Lopez
James Abboud
Jesse Mazzotta
Johannes De koster
Julian Lorenti
Kareim Afif
Kyle McBride
Liis Paeste
Lily Fitzgerald
Louise Wendel Borsos
Lyndsay McBride
Ned Zell
Milou Bastings
Petrus Brink
Quintin Venter
Romy Angel
Sam Bruton
Sammi Leung
Samuel Monteforte
Sarah Jancewicz
Sarah Walmsley
Taine Conway
Tristen Cassar
Victoria Ashley
Zoe Downing
Organised by Coach
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