Date *

Membership Number *

First Name *

Last Name *

Phone *

Email *

What is the main reason for cancelling your membership with us? *

Medical

Non-Usage

Motivation

Financial

Relocation

Facilities

Other - Please give reason below

Please state reason

How did you find the cleanliness of the facilities? *

⭐⭐⭐⭐⭐

⭐⭐⭐⭐

⭐⭐⭐

⭐⭐

⭐

How did you find the overall facilities *

⭐⭐⭐⭐⭐

⭐⭐

⭐⭐⭐⭐

⭐

⭐⭐⭐

Did the staff provide a good customer experience? *

⭐⭐⭐⭐⭐

⭐⭐

⭐⭐⭐⭐

⭐

⭐⭐⭐

I hearby certify that I wish give 30 days written notice of membership with Waterfront Leisure. I understand that my account must be in good standing in order to complete this request. I understand that I am responsible for any billing that will occur within the next 30 days. I understand I will be provided a copy of the Member Cancellation request via email.

Full Name *

Signature *

Clear

Sign Here