Registration Cancellation Form


Use this form only if:

  • you are cancelling out of the class that is billed monthly.
  • you are past the cancellation date for the program.

Cancellation Policy: A member account will be billed the full program fee unless a registration is officially cancelled atleast 5 days in advance of the program start date.

 

Enter member information who is registered in the program

Member Account # (full 5 digits)*
E-mail Address*
First Name*
Last Name*
Birthdate*
Phone Res#*
Phone Bus#*
Department*
Full Class Name & Level*
Program Start Date*
Day*
Time*
Reason*

By submitting this form I acknowledge that I am past the cancellation date for this class and may be billed the full program fee. Please allow 72 hours for processing.