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2. 

3. Membership Cancellation Form

   To avoid being charged for the next month, cancellations must be submitted by the 25th of the current month.

   ** this form is ONLY for Recreation Center Membership cancellations.

5. Name (please use the name as it shows on your account):*
6. Name of person paying for the membership (if other than member):
8. Phone number associated with your account:*
9. Email associated with your account:*
11. Membership Type*

    1. Monthly
    2. Annual*

    *If a refund is requested, annual memberships will be refunded based on the standard monthly rate

12. Desired cancellation date:
    -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

    To avoid being charged for the next month, cancellations must be submitted by the 25th of the current month.

    (your membership will expire on the last day of the selected month)

    
    

14. Please share with us why you have decided to cancel your membership (choose all that apply):

    1. Financial concerns
    2. Moving away
    3. Facility hours

    1. Switching to another gym
    2. Not enough activities
    3. Other
16. If you chose "other," please share your reasoning:
18. Is there anything else you wish to share with the Recreation Center staff?

20. Please email parksandrecbilling@cityoflaramie.org or call (307) 721-5284 with any questions you may have.

    You will be notified via e-mail when your cancellation is processed.

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field