Make Changes I need to...*Cancel my Courthouse membershipRemove kids program (Swim Lessons, Swim Team, Jiu Jitsu)Remove personal trainingNo longer receive Courthouse Nutrition meal plansRequest a leave of absenceOtherParent's Name* First Last Child's Name* First Last Child's Name First Last Child's Name First Last Name* First Last Birthdate* MM DD YYYY We want to make sure we have the right person. Barcode ID NumberEmail* Phone Number*Home Club*Battle CreekKeizerLancasterSouth River RoadWest SalemWhich Kid Program are you removing? Group Swim Lessons Swim Team Jiu Jitsu Other (please specify below) How can we assist you?*Reason for Termination*MovingHealth ReasonsMembership CostNot UsingNew GymFacility/Staff IssueI would like to Terminate ALL individuals from my account?* Yes No Please let us know who else.Do you plan on rejoining?YesNoOnce submitted, you will receive an initial confirmation email of your submission. Please note that the change process will NOT begin unless you receive this email.* Yes, I have read and understand this. Anything else we need to know?We are sorry to see you go. Thank you for beginning the process to resign your membership. There is a 30 day cancellation policy in which billing with continue. You will receive an initial confirmation email of your submission. Please note that this process will NOT begin unless you receive this email.* Yes, I have read and understand this.