Membership Cancellation Request WE’RE SORRY TO SEE YOU GO! 1. If you decide to reactivate your membership in the future (and we hope you do) membership rates in effect at the time of reactivation will be applicable as membership rates are subject to change. 2. If you would like to put your membership on hold instead of canceling, you can submit a Membership Hold Request for a 7-60 day period. If you’re sure you’d like to cancel, just complete and submit the form below. This will serve as your 30-day written cancellation notice as required by your membership agreement. Your membership will be canceled 30 days from the submission of the form below. Please note that if you have a scheduled renewal payment within this 30-day period, the payment will be processed as scheduled. All payments are non-refundable. 3. Cancellation of membership prior to the expiration of any specified commitment period requires an early termination fee as per your membership agreement. First Name (required) Last Name (required) Email (required) 1. Please select the reason that best describes your reason for leaving. (required) ---Too Expensive (Financial reasons)Location (Not convenient or relocating)Difficulty (The workouts are too difficult)Injury (I am injured)Lack of AttendanceMaternity (I am having a baby) 2. How well did the Coaching Staff attend to your fitness goals and needs? (required) ---Extremely wellVery wellModerately wellSlightly wellNot well at all 3. How would you describe your satisfaction with the facilities including equipment, cleanliness, and accessibility? (required) ---Extremely satisfiedVery satisfiedModerately satisfiedSlightly satisfiedNot satisfied at all 4. Overall, how would you rate your CrossFit Fidelis experience? (required) ---10987654321 5. How likely are you to recommend CrossFit Fidelis to other athletes? (required) ---10987654321 Additional Questions/Comments I understand that my membership will be canceled 30 days from the date this form was submitted.