Your Information
I would like to: *
Membership Information
*Please note: 12-Month Upfront memberships will terminate on their expiration date. Members wishing to terminate their membership before their expiration date must receive written approval from the Director of Campus Recreation.
Membership Type *
Reason for Hold (check all that apply) *
The date you will no longer be using your membership. This is the earliest we will inactivate your account.
The date you would like to return. This is the latest we will reactivate your account.
Membership Information
*Please note: 12-Month Upfront memberships will terminate on their expiration date. Members wishing to terminate their membership before their expiration date must receive written approval from the Director of Campus Recreation.
Membership Type *
Reason for Cancellation (check all that apply) *
Do you rent a locker? *
Cancellation Effective Date *
If other please indicate the cancellation date below.
Locker Cancellation Information
*Upon submittal of this form, all belongings must be removed from locker by the end of the day.
Locker Location *
Reason for Locker Cancellation (check all that apply) *
Confirm Cancellation/Hold
Please draw your signature here to signal your intent to submit this cancellation. Upon submitting this form, you will receive an email with the information you submitted.