O.C. Riptide Aquatics- Termination Request
This form must be submitted by the 15th of the month to avoid charges being applied on the next billing cycle (1st of each month).
Sign in to Google to save your progress. Learn more
Email *
Account Holders Name *
Account Holders phone number and account login email if different from the email above. *
Is the termination request for the entire account, or just select members on the account? *
If terminating select members, but keeping the account active, please list the names of all members to terminate.
Please indicate the reason(s) for terminating membership.
Is there any other feedback or information you would like to share with us?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Orange County Riptide Aquatics Club. Report Abuse