My Heart of the Valley YMCA
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Termination of Membership
Please complete all fields and indicate your reason for terminating your YMCA membership.
Enter your member number.
Please select your branch of membership from the choices below.
Downtown Express YMCA
Hogan Family YMCA
Southeast Family YMCA
Please enter your Full Name.
Date of Birth
Enter your birthdate as MM/DD/YYYY.
Address Line 2
State / Province / Region
ZIP / Postal Code
Choose a reason for cancelling your membership.
Switching to Another Facility (please specify)
Other reason (please specify)
If you are cancelling for monetary reasons, would you be interested in our Open Doors Financial Assistance program?
The Heart of the Valley YMCA is a 501(c)(3) nonprofit community organization with a charitable mission. Please indicate whether you would like to receive information about the Heart of the Valley YMCA financial assistance program.
Letter of Good Standing
If you are moving, please indicate whether you would like to receive a Letter of Good Standing to assist you in joining a YMCA in another city.
Acknowledgement of Termination of Membership
It is my understanding that if I cancel by the 25th of the month, my membership will cancel at the end of that same month. If I cancel after the 25th, I will be drafted one more month and have full use of the facility in the last month that I am drafted. I am responsible for any past due balances and return/late fees associated with my account. By cancelling or allowing my membership to expire, I realize that my joining fee is non-transferable after 45 days.
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