AUSA Cancellation Form

Cancellation Form
Member's Home Facility*
Request Type Selection

24/7 MembershipPrivate Basketball CoachingBlueprint
Member's Full Name?*

First NameLast Name
Please make sure you use the email address below that is associated with your account. If you are not sure, please ask our staff to check for you.
Member's Email*
example@example.com
Member's Phone Number*
Please enter a valid phone number.
Thanks. Would you mind sharing the reason for your cancellation?*

End of ContractFinancialHealth ReasonsInadequate Facilities or ServicesJoined Another FacilityLack of MotivationLack of TimeRelocationOther
How would you rate your overall experience?*

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5

1 is Worst, 5 is Best
Did staff at the AUSA Facility provide a good experience?*

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4

5

1 is Worst, 5 is Best
How did you find the presentation of the facility?*

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5

1 is Worst, 5 is Best
Where did we fall short? Is there anything else you can share about your experience?*
Should be Empty: