Membership Cancellation Request

We are sorry to see you go! Please complete this form in its entirety to cancel your Rev'd Up Fun Membership(s). Please note: Cancellation requests must be received a minimum of 5 days before the next payment date. Our team will review your request and will send you a confirmation if your membership is eligible for cancellation (12 month commitment has been fulfilled).

Parent Full Name *

Phone *

Email *

Parent Member Information

If you have any parent memberships that you wish to cancel, please list the full names of the parents in the spaces below.

First Parent Full Name

Second Parent Full Name

Child Member Information

Please list all child memberships that you wish to cancel. Any member names not listed below will not be cancelled. If you have more than 4 child members, please fill out a second form.

First Child Member Full Name *

First Child Membership Type *

Platinum
Luxury
Ballocity
No elements found. Consider changing the search query.
List is empty.

Second Child Member Full Name

Second Child Membership Type

Platinum
Luxury
Ballocity
No elements found. Consider changing the search query.
List is empty.

Third Child Member Full Name

Third Child Membership Type

Platinum
Luxury
Ballocity
No elements found. Consider changing the search query.
List is empty.

Fourth Child Member Full Name

Fourth Child Membership Type

Platinum
Luxury
Ballocity
No elements found. Consider changing the search query.
List is empty.

Reason for Cancellation *

Too Expensive
Do Not Use
Too Crowded
Schedule conflict
Other
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List is empty.

Please explain:

Date of Cancellation *

I understand that my cancellation request must be received 5 days prior to my scheduled payment date in order for the recurring payment for the following month to be canceled as per my signed membership agreement. I also understand that there is a minimum 12 month commitment to my Rev'd Up Fun Membership.