Membership Update Request
To help us process requests accurately and on time, please complete the form below.
Member Information
Please provide your contact and student details.
Parent / Account Holder Full Name
*
Email Address
*
example@example.com
Student Name(s)
*
***ONLY THE NAMES LISTED HERE WILL BE CANCELED - Be sure to list all names!***
Program
*
Please Select
Tots
Kids
Teens
Adults
Muay Thai
Are you using Step Up Direct Pay?
Yes
No
Request Type
Let us know what you need.
What would you like to request?
*
Cancel Membership
Freeze Membership (Military ORDERS only)
Freeze Info
Help us understand your freeze request.
Date of First Day of Freeze (Must be at least 14 days from request date)
*
-
Month
-
Day
Year
Date
Date of Last Day of Freeze (Must be at least 2 weeks)
*
-
Month
-
Day
Year
Date
*
I understand freezes are approved for military orders only.
Cancellation Info
Help us understand your cancellation request.
Requested Date of Cancellation (Must be at least 14 days after request)
*
-
Month
-
Day
Year
Date
Reason for Cancellation
Schedule conflict
Injury / health
Financial
Relocating
Other
Additional Notes (Optional)
Cancellation Policy Acknowledgment
*
I understand that submitting this form is a cancellation request. Regular memberships require 14 days written notice prior to the next billing date to avoid the next charge. Requests submitted within 14 days will remain active through the next billing cycle. Step Up for Students accounts are billed in arrears and require 30 days written notice of cancellation. Because of this billing structure, one final invoice may be submitted after cancellation to cover the most recent training period. I understand that if Step Up does not issue payment for any submitted invoices, the card on file will be charged.
Step Up
I understand that Step Up for Students tuition is billed in arrears. Because of this billing structure, 30 days written notice is required for cancellation. I understand that one final invoice may be submitted after cancellation to cover the final training period. I am responsible for ensuring Step Up funds are moved for any invoices submitted. If Step Up does not issue payment, the card on file will be charged.
Tots Program Notice
Waitlist Acknowledgment (Tots only)
*
I understand that my child’s spot cannot be held and that re-enrollment is subject to waitlist availability.
Final Confirmation
*
I confirm that the information above is accurate and that I am requesting to cancel/freeze the membership listed. I understand and agree to the cancellation terms listed above.
Submit Request
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