MEMBERSHIP THAW (UNFREEZE) REQUEST

MEMBER(S) NAME (Please enter FIRST and LAST name of the memberships being reactivated.) * 🛈

MEMBER(S) EMAIL ON FILE *

MEMBER BARCODE ID 🛈

ORIGINAL FREEZE DATES:

START * +

END * +

*Please reference our original email confirmation. Otherwise if you no longer have a copy of our email, please provide an approximate range.

REQUESTED THAW DATE * +

*If you are checking in for a class today, please put today's date. Otherwise, please enter the date you would like your membership to be reactivated.

PLEASE NOTE: We may require a minimum of 1-2 business days from time of submission to reactivate.

PLEASE READ THE FOLLOWING AND CHECK BOX BELOW BEFORE SIGNING: *

I have read and understand the Freeze Policy at Krav Maga Worldwide National Training Center. I understand that by reactivating early a) I may be charged prorated membership dues if any billing has been waived as a result of my freeze and/or b) in the event I was provided any billing credit for my freeze, my credit may be reduced to reflect my early return.

ACCOUNT HOLDER SIGNATURE *

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Krav Maga Worldwide ▾ 15233 Ventura Blvd. #100 ▾ Sherman Oaks, CA 91403 ▾ 800.KRAV.MAGA