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MEMBERSHIP CANCELLATION FORM

We would hate to see you go, however if you choose to cancel your membership you must notify the YMCA by the 25th of the month you want your membership to end. Memberships will automatically renew unless a cancellation request has been submitted. It is your responsibility to cancel your membership if you decide to discontinue use of the YMCA facility. All membership dues accrued prior to cancellation are your responsibility.

Cancellations will occur on the last day of the month following the submission of the request (example: cancellation request submitted 6/25, membership ends 6/30). Cancelling after the 25th of the month will result in one more billing cycle and the membership will continue to the end of the following month (example: cancellation request submitted 6/28, membership ends 7/31). 

Cancellations may be requested by filling out our online Cancellation Request Form or by stopping by the Welcome Center at the Y.

If you are terminating your membership due to financial concerns, please look over our Financial Assistance information.

Do you have a rented locker?
Reason for Cancellation
Please check all that apply.
Financial assistance option available.

Please Note: All memberships will be ended on the last day of the month that this form was completed, if submitted by the 25th. If submitted after the 25th, memberships will end on the last day of the following month. Cancellations are based on monthly membership, not payment draft date. All membership dues accrued prior to cancellation are your responsibility.

By checking this box, I understand that all membership dues accrued on my active membership are my responsibility. I agree to pay all membership dues in full that are accrued on my membership.