CrossFit Cypher Cancellation Request Form
First Name *
Your answer
Last Name *
Your answer
E-mail Address *
Your answer
What type of Membership are you cancelling? *
Please submit a separate form for each membership your would like to cancel.
Please let us know why you are leaving or taking a break: *
How well did the coaching staff attend to your goals? *
Not Very Well At All
Exceptionally Well
How likely are you to recommend Cypher to a friend? *
Not Likely At All
Exceptionally Likely
What's next for you? *
Your answer
Anything we could improve? *
Your answer
Additional Questions, Comments, and/or Feedback:
Your answer
Is a Member or Cypher Staff submitting this form? *
Membership Policies *
Required
Please print your Full Name to e-sign *
Your answer
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