{"id":271457,"date":"2024-02-23T19:52:42","date_gmt":"2024-02-23T19:52:42","guid":{"rendered":"https:\/\/lavidamassagefortcollinsco.com\/?page_id=271457"},"modified":"2024-03-26T17:10:50","modified_gmt":"2024-03-26T17:10:50","slug":"suspension-form","status":"publish","type":"page","link":"https:\/\/lavidamassagebrightonmi.com\/forms\/suspension-form\/","title":{"rendered":"Suspension Form"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' ><div id='gf_7' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_7' id='gform_7'  action='\/wp-json\/wp\/v2\/pages\/271457#gf_7' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_7_1\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_1\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_1'>\n       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for='input_7_12'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_7_12' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_7_5\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_5\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Membership Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_7_5'><div class='gchoice gchoice_7_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='60-Minute Benefits Program'  id='choice_7_5_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_5_1' id='label_7_5_1' class='gform-field-label gform-field-label--type-inline'>60-Minute Benefits Program<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='90-Minute Benefits Program'  id='choice_7_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_5_2' id='label_7_5_2' class='gform-field-label gform-field-label--type-inline'>90-Minute Benefits Program<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_6\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_6\" ><label class='gfield_label gform-field-label' for='input_7_6'>Reason for Suspension<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_7_6' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_7_7\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_7\" ><b>Terms & Conditions<\/b><p>You understand that by signing below you are suspending your Benefits Program membership. You understand that on the date listed below your automatic payments will resume until you follow proper written procedure to terminate your membership. In honor of your request we will suspend your Benefits Program. During this suspension period you may use your\naccumulated sessions as usual, but once all of your sessions have been used you will be considered a non-member and must pay everyday pricing until your suspension is uplifted. 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