CrossFit Chivalry Cancellation Request Form

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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. If you’re sure you’d like to cancel, just complete and submit the form below. This will serve as your 15-day written cancellation notice as required by your membership agreement. Your membership will be canceled 15 days from the submission of the form below. Note that if you have a scheduled renewal payment within this 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 cancellation fee of $300 or to pay the remainder of the contract out.

Email *

Record my email address with my response

First Name *

Last Name *

Phone Number *

Email *

PLEASE SELECT THE OPTION BELOW THAT BEST DESCRIBES YOUR REASON FOR LEAVING *

Too Expensive (Financial Reasons)

Location (Not convenient or relocating more than 30 miles)

Difficulty (The workouts were too difficult)

Injury (I am injured)

Lack of Attendance

Maternity (I am having a baby!)

HOW WELL DID THE COACHING STAFF ATTEND TO YOUR FITNESS GOALS
AND NEEDS? *

Extremely well

Very well

Moderately well

Slightly well

Not at all well

Required

HOW WOULD YOU DESCRIBE YOUR SATISFACTION WITH THE FACILITIES INCLUDING EQUIPMENT, PARKING, AND ACCESSIBILITY? *

Extremely satisfied

Very satisfied

Moderately satisfied

Slightly satisfied

Not at all satisfied

Required

OVERALL, HOW WOULD YOU RATE YOUR EXPERIENCE (10 BEING AWESOME)? *

HOW LIKELY ARE YOU TO RECOMMEND US TO A FRIEND?

*

Extremely likely

Very likely

Slightly likely

Not at all

Required

CHECK THE BOXES BELOW *

I understand that if I decide to reactivate my 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 chage.

I understand that this will serve as my 15-day written cancellation notice as required by the membership agreement.

I understand that my membership will be canceled 15 days from the submission of the form below. (Note that if you have a scheduled renewal payment within this 15 day period, the payment will be processed as scheduled. All payments are non-refundable,)

I understand that cancellatiion of my membership prior to the expiration of any specified commitment period requires an early termination fee of $300 as stated in your contract.

Required

A copy of your responses will be emailed to .

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