We hate to see you go. Please fill out this form and we will be in touch with you shortly to finalise cancelling your membership.

First Name *

Last Name *

Phone *

Email *

Please select the option below that best describes your reason for leaving.

Would you recommend us to your friends?

Additional Comments/Questions

I understand that this is a request to cancel and that the gym's policy on cancellation will be considered to determine final date of my membership

Yes