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

First Name *

Last Name *

Phone *

Email *

Select the option that best describes your reason for leaving. *

How would you describe your satisfaction with the coaching you received from us? *

How clean were the facilities? *

How satisfied were you with your overall experience? *

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. ALL CANCELATION REQUESTS REQUIRE a 30 day notice. Any invoices scheduled to charge within that 30 day window will be billed in full. I understand that termination of my membership before the end of my contract will require a termination fee of the difference between the membership I chose and the membership I should have been on as outlined in my membership agreement. No refund of any payments made will be given. *

Yes

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