Membership Cancellation Request Form Name* First Last Email* Service Location*TucsonPhoenixDallas Fort-WorthPlease select the location you receive our services atI want to discontinue my membership with Trusting Connections.* Please check here to end auto-renewals.Please tell us why you are ending your membership. (Select all that apply. To make more than one selection, press Ctrl.)*I don't use the service enough to justify maintaining my membership.I have found a different child care option.The service is too costly.The service did not meet my expectations.I no longer need child care services.We are moving.OtherA member of our staff would love to try and make it right as we are always looking for new ways to improve our service. May we call you to discuss your concerns? Sure! No thank youAny parting words? (Praise, criticism, comments, concerns, etc.)Finally...Would you recommend our agency to a friend in need of this type of service?* Yes NoPlease sign and date below.*Date* MM slash DD slash YYYY CAPTCHA