• Membership Cancellation Request Form

    Cancellation Policy: Orangetheory Fitness employs a 30-day cancellation policy. A member can cancel at any time by filling out a cancellation form. Any EFT (membership fee) that is within the 30-Day cancellation period will be billed. The member has 30 days from the last EFT hit to utilize any unused sessions. Any class sessions remaining after the 30-Day cancellation date will be forfeited.

  • COMPLETED BY THE MEMBER

  • Format: (000) 000-0000.
  • Today's Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Please take a moment to let up know how we have been performing:*
    Rows
  • Reason for Cancellation

  • SIGNATURES

  • I acknowledge that the cancellation procedures and dates have been explained to me and I understand that any EFT's (membership charges) remaining in the 30-Day cancellation period will be billed. I understand that I have 30 days from the last EFT hit to utilize any unused class sessions. After this time is over, I will forfeit any remaining class sessions as my membership will no longer be active.

  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year

  • COMPLETED BY THE STUDIO

  • Member Since*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Spoke with Member*
  • Membership Termination Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Last EFT Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Class Session Expiration Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: