First Name *

Last Name *

Email *

Phone *

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 acknowledge and accept the following cancellation terms

All boxes must be checked to process your cancellation request *

I understand a 4-week notice is required and any invoices scheduled to charge within that 4-week window will be billed in full. All payments are non-refundable.

I understand that termination of my membership before the end of my agreement will require a termination fee of the difference between the membership I was on and the membership I should have been on as outlined in my membership agreement.

I understand my membership will be cancelled 4 weeks from today.