Adult Athlete Cancellation Form

Athlete Name *

First Name

Last Name

Phone *

(###)

###

####

When would you like us to cancel your membership? *

Before the next billing date

On the date specified below

Specified Cancellation Date

MM

DD

YYYY

I acknowledge: *

that my billing date depends on when I started my plan

that I must submit this cancellation request at least 10 days prior to the desired cancellation. Otherwise, it will be cancelled on the following billing date.