Alpha Omega Gymnastics Membership Cancel Form

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Cancel Your Membership
To cancel your membership please fill out the form below. If you have any questions, please give us a call at 469-859-9936. We look forward to when you return!

* Indicates required field

Thank you for the opportunity to serve your family!

Parent's Name *

First

Last

Parent's Email *

Parent's Cell Number *

Child's Name to Cancel *

Class Type *

Child #2 to Cancel *

Class Type *

Child #3 to Cancel *

Class Type *

Child #4 to Cancel *

Class Type *

Reason for Membership Cancellation *

Child lost interest Financial Medical reasons Moving out of area Not getting any value from the program Unhappy with Staff Too busy/other activities Other (Please elaborate in comments)

________________________

Date to end your membership *

Please list the date that you would like to end your Alpha Omega Gymnastics Membership (use xx/xx/xxxx format)

________________________

Are you satisfied with the services you received from Alpha Omega Gymnastics? *

Yes No Please call me to discuss

________________________

I am requesting a cancellation of my child’s membership. If today is the 9th of the month or earlier, the cancellation will go into effect on the 1st day of next month. If today is after the 9th of the month, the cancellation will go into effect on the 1st day of the month after next. I understand and agree my child’s membership will no longer be in effect. My monthly charges will expire based on my cancellation date. I also understand and agree that I am responsible for re-enrollment fees and increase of tuition that might have occurred during my absence for my child(ren), should I choose to return to classes. (Here is an example of how this cancellation works, if a member requests a cancel on May 9th no charges will occur in May and future, child’s Alpha Omega membership will be suspended starting in June. If a member requests a cancel after May 9th charges will occur in May but not in June and future, the child’s Alpha Omega membership will be suspended starting in July.) *

I Agree

By cancelling my membership, I understand that I will lose all benefits at Alpha Omega Gymnastics until I re-enroll. *

I Agree

Should I dispute a charge through my financial institution this will constitute a breach of contract possibly resulting in, but not limited to, penalties, additional fees, collection, legal action, and/or termination of any and/or all current and past agreements. *

I Agree

I have read all of the information on the Alpha Omega Cancel Membership form and I agree to abide by all of its terms. *

I Agree

Parent's typed name (acting as my signature) *

Today's Date *

Please use date format xx/xx/xxxx

Please let us know if you have any additional comments *

Submit

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469-859-9936
8412 Stacy Rd
McKinney, TX 75070

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