Membership Update – The Wild Movement

Name*

First Last

Email*

Phone*

Place membership on hold OR Cancel*

Place on hold
Cancel

Hold dates

I would like to place my membership on hold:

From*

Date you wish to place a hold on sessions

To*

Date you wish to start training again

Cancellation date

I would like to cancel my membership from:

Date*

Reason for cancellation*

Please give us feedback so we can improve

Consent*

I agree

I understand that this document serves as 14 days notice. Until the change has been finalised, I am bound by the terms and conditions of the original waiver agreement.

Initials*

Comments

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