VELO-CT Cancellation Form
Please note that your cancellation must be submitted by the 15th of the month to avoid the next billing cycle. As an example; to avoid the February billing cycle you must have submitted this form by January 15th.
Email address *
IDENTIFYING INFORMATION
Account Holder's Name *
Your answer
Swimmer/Athlete's Name(s) *
Your answer
Membership Type *
Required
IF CANCELLING SWIM LESSONS
I have a SINGLE lesson a week and would like to cancel it
I have MULTIPLE lessons a week and would like to cancel ALL of them
I have MULTIPLE lessons a week and would like to cancel SOME of them, (please select the days that you would like to cancel and keep)
CANCEL
KEEP
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
CANCELLATION INFORMATION
Please select when you would like your cancellation to take effect *
Reason for Cancelling
Your answer
CONFIRMATION
By checking this box, I am acknowledging that I understand this form must be submitted before the 15th of the month to be taken out of next month's billing cycle. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
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