Form
JC Sports Members Cancellation Form
Form must be received before the 15th day of the previous month in order to be processed for the following month. All forms received after the 15th of the month will be processed the following billing cycle and you will be charge a full month Membership regardless of attendance
Parent's full name
*
First Name
Last Name
Child's full name
*
First Name
Last Name
Child's date of birth
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Class you need to drop
Class day and time
Reason for leaving
What can we improve on?
I agree that
This form must be received before the 15th day of the previous month in order to be processed for the following month. All forms received after the 15th of the month will be processed the following billing cycle and you will be charge a full month membership regardless of attendance.
*
I Agree
Signature
*
Submit
Should be Empty: