Fitness & Aquatics Cancellation Form

Cancellation Form
Please fill out the below form to cancel your membership

• Memberships are cancelled the last day of the subsequent month from when form is received

• One more month of dues are charged after receipt of the cancellation form

Questions? Email membership at memberservices@jccmetrowest.org

We hope to welcome you back to the J soon!
Change Status (Internal Use)
Name

First NameLast Name
Email
example@example.com
Reason for cancellation
Please provide reason for cancellation
Before you go, we'd love your feedback. How would you rate your overall Fitness & Aquatics experience? (1 = very poor; 10 = excellent)
Notes from staff (internal use)
Should be Empty: