All membership agreements require 30-days written notice to cancel your membership. This form will serve as your 30-days written cancellation notice. Note that if you have a scheduled renewal payment within 30-days of your invoice billing date, the payment will be processed as scheduled. Your membership will be canceled at the end of your final paid month. All payments are non-refundable. All grandfathered membership rates will also be forfeited and returning members will be subject to current rates. In case of early termination, Gateway Fitness Home of CrossFit Obsession member agrees to pay a $75 early cancellation.

Full Name *

Phone *

Email *

How likely are you to recommend our gym to others? *

Very Likely

Maybe

Not Sure

Definitely Not

How well has the Coaching Staff attended to your fitness goals and needs? *

Excellent

Pretty Good

Just Okay

Needs Some Work

Overall, how would you rate experience at our gym? *

Excellent

Pretty Good

Just Okay

Needs Some Work

What is your reason for canceling? *

I understand that after submitting the cancellation form, I am still responsible for any payment inside the 30 day notice window *

I understand

I agree to the terms of the membership cancellation policy *

Yes

Signature (use mouse or hand to sign) *

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