Freeze Request Monthly Please allow up to 48 Hours for response.First Name(Required)Last Name(Required)Email(Required) Phone(Required)Home Club(Required)Home Club (Choose One)*ReisterstownPadoniaRotundaReason for freeze:(Required)Reason for freeze (choose one)*MedicalFinancialHigh School SportsMilitaryVacationCoronavirusFreeze Begin Date MM slash DD slash YYYY Length of Freeze(Required)Length of FreezeOne monthTwo monthsThree monthsWho do you wish to freeze?(Required)Who do you wish to freeze? (choose one)I am the only member on this accountI wish to freeze every member on my accountI wish to leave only the following members active on my accountPeople to leave activePreferred contact method: (Choose One)(Required) Phone Email If Required, Upload Supporting Medical/ Military Documentation Drop files here or Select files Accepted file types: jpg, png, pdf, doc, Max. file size: 50 MB, Max. files: 3. Freeze T and C Acknowledgement(Required) I acknowledge that I have read and understand the terms and conditions stated above and further acknowledge that this is a membership freeze REQUEST ONLY and that my account is not frozen until confirmed by Brick Bodies. PhoneThis field is for validation purposes and should be left unchanged.