Member Feedback & Cancellation Request
Use this single combined form to (a) leave feedback or suggestions, (b) request a freeze or pause of your membership for a defined period, or (c) submit a formal cancellation. We respond within 3 business days. Honest feedback helps us improve and is welcomed even from cancelling members — please tell us what worked and what didn't.
Section 1 — Member Information
Section 2 — Purpose of This Form
Tick everything that applies — you can combine feedback with a freeze or cancellation request.
Section 3 — Membership Freeze Request (only if "Freeze" was checked above)
Reason (medical, travel, work, financial, other):
Section 4 — Cancellation Request
Last day of membership requested:
Cancellation policy acknowledgments:
Section 5 — Final Comments
Anything else you'd like to share with the team?
Section 6 — Acknowledgments & Signatures
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Manager approval (if required):
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Thank you — whether you're sticking around, taking a break, or moving on, we appreciate you taking the time to tell us why.