Request to Cancel
Must be provided 10 business days prior to next scheduled payment. If you are unsure of your payment date, text 503-537-0104.
Member Name
*
First Name
Last Name
Responsible Party (Name on Billing)
*
First Name
Last Name
Please indicate the memberships you are canceling
*
Youth Ninja Fitness
Youth Brazilian Jiu Jitsu
Adult Fitness
Adult Brazilian Jiu Jitsu
Semi-private Training
Why are you canceling?
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Please Select
Lost interest in program
Scheduling issues
Moving from the area
Injury that doesn't allow for continued training
Financial
Other
Did you know you can pause your membership for a fee of $15 per month?
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