Cancellation Request Form

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.

Each membership cancellation requires a 14 day notice, per the membership policies form you signed at the beginning of your membership.

First Name *

Last Name *

Phone *

Email *

Preferred Cancelation Date: *

Reason for Cancelling? *

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

How satisfied were you with your overall experience? *

How clean were the facilities? *

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 *

Yes

I understand that if I am on a long term commitment plan I will be charged 50% of the remaining balance on my commitment upon cancelation *

Yes

I understand that if I elect to place my 14-day cancellation notice during my membership freeze it will take place after my freeze is completed and I may be responsible for 1 final bill if my recurring billing date falls in the 14-day window. *

Yes

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