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

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 would you describe your satisfaction with the facilities, the equipment, parking, and accessibility? *

Overall, how would you rate your experience? (10 BEING AWESOME)? *

Would you recommend us to your friends? *

Additional Comments/Questions

CHECK THE BOXES BELOW *

I understand that if I decide to reactivate my plan in the future (and we hope you do!), rates in effect at the time of reactivation will be applicable as plan rates are subject to change.

Required *

I also understand that by cancelling I will lose any perks and/or discounts that where available when I first signed up, which may not be available should I decide to reinstate my plan.

Required *

I understand that this will serve as my 4 week written cancellation notice as required by the transparency sheet.

Required *

I understand that my plan will be canceled 4 weeks from the submission of this form. (Note that if you have a scheduled renewal payment within this 4 week period, the payment will be processed as scheduled. All payments are non-refundable.)

Required

I understand that cancellation of my plan prior to the expiration of any specified commitment period requires an early termination fee equal to the difference of the class plan rate I was on, to the class plan rate I should have been on, according to the term length I fulfilled.

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