Student's Full Name
*
Email
*
Phone
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What's the reason for your cancellation?
*
Please select the option below that best describes your reason for leaving
Financial reasons
Moving out of town
Classes are too hard
Injury
Schedule conflict
Maternity/ Paternity
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Is there anything we can do to change your mind?
*
When would you like to cancel your membership?
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How would you rate staff attention to your goals and needs?
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Select one
Great
Ok
Poor
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Overall, how would you rate your experience?
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Select one
Great
Ok
Poor
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How likely are you to recommend our gym to friends/family?
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Select one
Highly likely
Maybe
Not likely
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By marking 'yes', I understand and agree that I must provide a 30-day notice to terminate my membership, if I have a scheduled payment within this 30-day period, the payment will be processed as scheduled. My access will end 30 days after my final payment. All payments are non-refundable. I may be subject to a new membership rates if I rejoin the gym at a later stage.
Yes
By marking 'yes', I understand that submitting this form doesn't automatically cancel my membership. I also understand that a staff member will reach out to me to follow up, and that my requested cancellation date is subject to our gym's policies and procedures.
*
Yes
If you are terminating your membership due to medical reasons please upload the doctor's request letter.
Request Cancellation