Membership Cancelation

Membership Cancellation Request Form

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Please allow up to 2 business days to receive a response. If you do not receive a response after 2 business days, please contact Customer Service at 225-767-9622.

Full name of primary member:

DOB:

Member phone number:

Address:

Email:

How did you hear about the Y?

Why did you originally join the Y?

Why are you canceling your membership?

What could we have done to better maintain your membership?

If you are a donor to the Y's Annual Campaign, do you wish to cancel your commitment?

Are you a Dow Westside YMCA or Charles W. Lamar Jr. YMCA 24 hour access member?

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By submitting this form, you agree to the terms and conditions of the YMCA of the Capital Area and its cancellation policy.

**Please note, this form serves as your request for the membership cancellation. You will receive an email from our membership team to confirm your membership has been canceled. **

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To put Christian principles into practice through programs that build healthy spirit, mind and body for all.

Membership Cancellation Request Form

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