Freezes can be made up to 4 weeks at a time, up to 2 times per year. A completed membership freeze request form is required to be submitted before any account payments will be put on hold. Note: if a freeze is needed for longer than 4 weeks, a doctor’s note is required.

Full Name *

Email *

Phone *

Which I-Koach Fitness location are you a member at? *

I-Koach Fitness Swansea

I-Koach Fitness Edwardsville

I-Koach Fitness Troy

On what date would you like the freeze to start? *

On what date would you like the freeze to end? *

I agree that a coach will contact me by phone for a brief membership review before the termination is processed.

I acknowledge that by submitting this freeze form, my membership contract fulfillment still applies.