Pause Your Membership

Membership Pause

Membership Pause Request

Impact Jiu Jitsu Beaverton and Clackamas Students: Please use this form to temporarily pause your membership. Note that the minimum hold period is 1 month.

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Membership Details

Student's Name(Required)

First Last

Email Address(Required)

Enter email in both fields to confirm

Email Address Confirm Email Address

Phone(Required)

Membership Location(Required)

Pause Details

Per the membership agreement, autopay memberships can be temporarily placed on hold. During the hold period, automated monthly tuition payments will be replaced with a $25 monthly hold fee. The minimum hold duration is 1 month.

Pause Duration(Required)

Pause Start Date(Required)

Pause End Date(Required)

Reason for Pause(Required)

Please note "Other" Pause Duration and/or Reason for Pause here.