cancellation request

Fill out the information below to submit a Cancellation Request.

Upon submission of this request, you will be charged a mandatory $99 cancellation fee.

If you ever decide to return, your cancellation fee will be applied toward tuition.

We will then send a confirmation e-mail to the e-mail address provided below.

If you do not receive a confirmation e-mail then we did not receive your Cancellation Request.

Form made for a page when someone wants to cancel their membership so we have documentation of date 30 day notice was given.

Students Name*
Students Name
First Last
Parents Name (If Applicable)
Parents Name (If Applicable)
First Last
Email
Email
Comprehension*
THIS IS A MONTH TO MONTH AGREEMENT CHARGED ON A WEEKLY BASIS. YOU MAY CANCEL AT ANY TIME IF YOUR ACCOUNT IS CURRENT AND UP TO DATE. Cancellations are only accepted by going to www.flashkickboxing.net/lp/cancel.
No cancellation by verbal, text or any other method of communication is accepted.
YOUR CANCELLATION FEE IS $99 REGARDLESS OF THE REASON. NO EXCEPTIONS.
I understand the cancellation policy I agreed to upon enrollment (as stated above).
Reason for cancellation.*
Reason for cancellation.