MEMBERSHIP CANCELLATION FORM Name * First Name Last Name Email * Phone * (###) ### #### Reason for Cancelling * We ask you to please be honest as we value your feedback and strive to improve our academy. Moving Financial Reasons Injury / Illness Other Additional Comments Primary Location of Membership * Cumming North Forsyth Cancellation Policy * By selecting 'Yes', I acknowledge that per Ascension Mixed Martial Arts' membership agreement I must provide a 30-day notice for the cancellation of my membership. I understand that I am accountable for any bills that fall within those 30 days and will continue to have access to the gym and member portals 30 days following the final billing date. Upon submission of this form, one of our staff will contact you for further assistance. Yes Thank you!