First Name *

Last Name *

Phone *

Email *

Best describe your reason for leaving. *

How well did the coaching Staff attend to your fitness goals and needs? *

How would you describe you satisfaction with the facilities including equipment, parking, and accessibility? *

Overall, how would you rate your Iron Forged Coaching experience? *

How likely are you to recommend Iron Forged Coaching to other athletes? *

I understand that my membership will be canceled 30 days from the date this form was submitted. *

I agree

I understand that all scheduled charges during my 30 day cancellation period will be processed as scheduled. All payments are non-refundable. *

I agree

I udnerstand no refunds will be given for pre-paid memberships, pt sessions, &/or any additional services. *

I agree

I understand, Iron Forged Coaching assumes no responsibility for inaccurately completed forms or forms not received due to errors outside of Iron Forged, Inc., control. *

I agree

Client Signature *

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