Membership cancellationform - Nexus Brazilian Jiu-Jitsu Academy

Nexus Jiu-Jitsu & MMA Members Only

Cancel/Pause Form

Name *

Email *

Phone Number

Select One Option: *

Pause Membership

Cancel Membership

Pause From (Start Date): *

Pause Until (End Date): *

Final Payment Date: *

(1 month's notice applies—see policy below)

Your feedback is important to us—please share your reason for pausing or cancelling:

Here are the key points:

Pause: Up to 3 times per year, max 6 weeks each, $20 fee, 7 days’ notice, form required.
Cancel: 1 month’s notice, $20 fee, form required.

I have read and agree to the Hold Policy & Cancellation Policy Above.

Signature *

Date *

Cancellation and Pause Policy

Key Points

Pause Membership

Up to 3 times per year.
$20 fee + 7 days’ notice + Filled form.
Max 6 weeks pause period each.

Cancel Membership

1 month’s notice period.
$20 cancellation fee
Duly filled form required.