ENVY ELITE CLASS MEMBERSHIP CANCELLATION REQUEST FORM
Use this form to request a class membership cancellation. Requests do not automatically stop billing or enrollment and are not effective until confirmed by ENVY Elite. Please submit one form per athlete, per class.
Account Holder First and Last Name
*
First Name
Last Name
Account Holder Email
*
example@example.com
Account Holder Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Athlete/Member Name
*
First Name
Last Name
Which class would you like to cancel?
*
Please Select
Tiny Tumbling
Tiny CHEER!
Beginning Tumbling
Handsprings (Intermediate Tumbling I)
Tucks & Aerials (Intermediate Tumbling II)
Layouts & Twisting (Advanced Tumbling)
Do you wish to remain enrolled in Tiny Tumbling?
*
Please Select
Yes
No
Reason for cancellation
*
Please Select
Schedule Conflict
Financial
Injury / Medical
Moving
Trying Another Activity
Other
Reason for cancellation
*
Cancellation Acknowledgement
*
I understand submitting this form does not automatically cancel my account.
Billing Cycle Acknowledgement
*
I understand that my cancellation will take effect at the end of the current billing cycle, which runs from the first of each month until the last day of that same month, and that no prorated refunds will be issued for unused classes or time remaining in the billing cycle.
Financial Responsibility Acknowledgement
*
I understand that I am responsible for all charges due prior to the effective cancellation date, and that any unpaid balance remaining on my account after cancellation may be subject to collections and any associated fees.
Today's Date
*
Submit
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