NameEmailPhone Birthdate: Home YMCA Facility: Cancelation Person to Remove: Cancelation Type:--None--Full AccountIndividual Members Membership Reason for Cancellation:--None--Financial IssuesMedicalSchoolSeasonalVacationWorkCOVID-19 Cancelation Additional Information: I understand changes to my membership account must be received by the 25th day of the month in order to ensure no charges will take place in the following month. If a membership lapses for more than 30 days, a rejoining fee will apply. Yes, I acknowledge the above hold statement pertaining to my cancellation request. *