Root Membership Cancellation / Downgrade Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you are a current member of The Root: Birth Babies Beyond, this is your form to be able to cancel your Root Membership.

**Please note, our Member Terms state that we require 2 Weeks Notice prior to cancelling or downgrading your membership based on when your autopay normally goes through monthly

Email *

Member Name *

Email Address *

Today's Date (computer will also email us a date stamped copy) *

YYYY

I would like to: *

Cancel My Membership Completely

Downgrade me to $15/Month Patron - Patron's maintain access to mighty network, enjoy special event and affiliate discounts and also get 10% off drop-ins and Class Passes

Would you like to leave a testimonial about membership or a specific class?

Any other comments, thoughts or notes about your time as a member.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms