Membership Cancellation

First Name *

Last Name *

Email *

What type of membership did you have? *
1 Year Membership (30 Day Cancellation)6 Month Membership (30 Day Cancellation)3 Month Membership (30 Day Cancellation)Month to Month Membership (7 Day Cancellation)

1. Please select the option below that best describes your reason for leaving. *

2. How well did the Coaching Staff attend to your fitness goals and needs? *

3. How would you describe your satisfaction with the facilties including equipment, parking, and accessibility? *

4. Overall, how would you rate your J5 CrossFit experience? *

5. How likely are you to recommend J5 CrossFit to other athletes? *

Please check below that you understand the cancellation terms: *
12 and 6 Month Contract - I understand my cancellation requires a 30 day notice. I understand I will incur one more payment and may incur an early termination fee equal to 1 Month Fee.
Month-Month Contract - I understand my cancellation requires a 7 day notice. I understand that if my regularly scheduled payment is within the next 7 day it will be automatically debited.