We hate to see you go but understand that circumstances change. Please fill out this form and we will schedule your membership to cancel in 30 days.

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 satisfied were you with your overall experience? *

Would you recommend us to your friends? *

Additional Comments/Reason for Cancellation/Questions

I understand that this is a request to cancel and that the gym's 30 day policy on cancellation will be considered to determine final date of my membership and any final payment owed to CrossFit Stars and Bars. *

Yes

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