WE'RE SORRY TO SEE YOU GO

1. If you decide to reactivate your membership in the future (which we hope you do) the rates in effect at the time will be applicable as membership rates are subject to change.

2. If you are travelling or injured and would like to place your membership on hold instead of cancelling submit a Membership Hold Request Instead.

3. If you're sure you'd like to cancel your membership simply complete the form below. This form will serve as notice of your intent to cancel your membership. Please note the notice period applicable to your membership will apply. See below:

(3 month membership = 4 weeks, 6 month membership = 8 weeks and 12 month membership = 12 weeks)

4. Once submitted we will respond to you within 24 hours on a weekday or the next business day if submitted on a weekend.

Name

First Name

Last Name

Email Address

1. Please select the option below that best describes your reason for leaving

2. How well did the Coaching Staff attend to your fitness goals and needs?

3. How would you describe your satisfaction with the facilties including equipment, parking, and accessibility?

4. Overall, how would you rate your CrossFit Agilis experience?

5. How likely are you to recommend CrossFit Agilis to a friend or family member?

6. Additional comments/questions or a quick one liner about your experience with us?

Please Cancel My Membership From This Date

THIS CANNOT BE ANY LESS THAN 2 WEEKS FROM TODAY OR IF STILL IN YOUR INITIAL TERM THE EARLY TERMINATION NOTICE PERIOD APPLIES MM/DD/YYYY (American Format)

YYYY