Recurring Membership Cancellation Form

Recurring Membership Cancellation Request Form

First and Last Name:

Email:

Phone Number:

Would you like to cancel your membership with Recreation and Wellness?:

Yes, I want to cancel my annual Student Recreation Center Membership.

Yes, I want to cancel my annual Student Recreation Center Locker Membership.

No, I do not want to cancel my Recreation and Wellness Membership.

I need to cancel a membership for another member of my household.

I understand recurring deduction cancellations must be received 7 days prior to the deduction date (the first of each month). Failure to submit this form 7 days prior to the draft date results in an additional non-refundable monthly payment. (Type yes for response.):

I understand that a cancellation fee of $60 is assessed for recurring memberships cancelled prior to twelve (12) months. (Type yes for response.):

Reason for cancelling your Recreation and Wellness membership.:

Additional comments.:

Updated: 12/03/2025 12:59PM