Contract Holder First Name
Contract Holder
Last Name
Contract Holder
Email Address
Contract Holder
Phone Number
Contract Number (if known)
Student Member ID (if known, located on training pass)
Member number is an 8-digit number
Who is submitting this form?
Please select...
Student / Parent / Caregiver
GKR Karate Staff
Are you suspending ALL students on this account?
Yes
No
Student Name(s)
Suspension Start Date
Suspension Period
Please select...
1 Week
2 Weeks
3 Weeks
4 Weeks
5 Weeks
6 Weeks
Additional comments
Reason For Suspending
Please select...
Holiday/Vacation
Injury or Other Health Issue
Taking a Break from Training
Scheduling Conflicts
Financial Constraints
Religious Reasons
Prefer Not to Say
Other
Reason For Suspending
Please select...
Holiday/Vacation
Injury or Other Health Issue
Taking a Break from Training
Scheduling Conflicts
Financial Constraints
Religious Reasons
Prefer Not to Say
Venue Closed
Weather Related
Administrative Adjustment
Other
Please specify other reason
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