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
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Last Name
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Email
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Phone
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PLEASE SELECT THE OPTION BELOW THAT BEST DESCRIBES YOUR REASON FOR LEAVING
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Reason for leaving
Too Expensive (Financial Reasons)
Location (Not Convenient or Relocating)
Difficulty (The workouts are too hard)
Injured (I am injured)
Lack of Attendance
Maternity (I am pregnant)
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HOW WELL DID THE COACHING STAFF ATTEND TO YOUR FITNESS GOALS AND NEEDS?
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Your Fitness Goals
Extremely Satisfied
Very Satisfied
Moderately Satisfied
Slightly Satisfied
Not Satisfied at All
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HOW WOULD YOU DESCRIBE YOUR SATISFACTION WITH THE FACILITIES INCLUDING EQUIPMENT, PARKING, AND ACCESSIBILITY?
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Your satisfactory
Extremely well
Very well
Moderately well
Slightly well
Not at all well
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OVERALL, HOW WOULD YOU RATE YOUR EXPERIENCE (10 BEING AWESOME)?
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1-10
1
2
3
4
5
6
7
8
9
10
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HOW LIKELY ARE YOU TO RECOMMEND US TO A Friend?
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Recommended
Extremely likely
Very likely
Moderately likely
Slightly likely
Not at all likely
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Check the boxes below.
I understand that if I decide to reactivate my membership in the future (and we hope you do) membership rates in effect at the time of reactivation will be applicable as membership rates are subject to change.
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Yes
I understand that this will serve as my 4 week written cancellation notice as required by the membership agreement.
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Yes
I understand that my membership will be canceled 4 weeks from the submission of the form below. (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.)
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Yes
I understand that cancellation of my membership prior to the expiration of any specified commitment period requires an early termination fee equal to the difference of the membership rate I was on to the membership rate I should have been on according to the term length I fulfilled.
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Yes
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