Membership Freeze Request Form

Complete this form to request a temporary freeze of your membership at Elite Leadership Martial Arts. Requests must be submitted at least 7 days before the desired freeze start date. Membership freezes are not approved until confirmation has been received from ELMA.

Parent / Account Holder First Name *

Parent / Account Holder Last Name *

Phone *

Email *

Member(s) Being Frozen *

Reason for Freeze

Requested Freeze Start Date *

Expected Return Date *

Payment Restart Acknowledgement *

I understand that my membership payments will automatically resume when my freeze period ends.

Policy Acknowledgement *

I understand that submitting this form is a request only and that my membership is not considered frozen until I receive confirmation from Elite Leadership Martial Arts.