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 to avoid being charged for your next billing cycle, membership cancellations must be submitted at least 14 days in advance. *

YES. By checking "Yes" I understand I will be charged one final billing cycle unless I submit this 14 days BEFORE my next billing date.

I understand any charges that take place in the next 14 days are nonrefundable, as per your membership agreement.

Yes

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