Membership Cancellation Request

Name: Name: First Last
Email:
Phone Number Phone Number - ### - ### ####
Cancellation Date Requested: Cancellation Date Requested: / MM / DD YYYY
All memberships will be cancelled on the last day of the current month based on the policies above.
Reason for Cancellation:

Reason for Cancellation: Relocation outside of Nashville & surrounding counties Temporary Cancellation due to COVID-19 Concerns Lack of Use Not enough time Did not fit schedule Temporary or Seasonal Usage Medical/Maternity Leave Preferred different type of exercise equipment Too Crowded Not convenient to home (location) Not convenient to budget No longer employed at Vanderbilt University Favorite Group Exercise Class held at an inconvenient time Other
What kind of equipment would you prefer?
Which Group Exercise Class?
Please tell us additional information you would like us to know.
Would you consider joining the Rec again in the future?

Would you consider joining the Rec again in the future? Yes No
By submitting this request, you acknowledge that you have read and agree to the terms of cancellation outlined above. Furthermore, any existing services you have will be forfeited upon submission. (i.e. locker rental)
Please enter your initials in the box below to confirm your membership cancellation.
Maximum of 5 characters allowed. Currently Entered: 0 characters.