Membership Cancellation First Name * Last Name * Phone * Example: 123-456-7890 Email * Enter a valid email address Birthdate * Home YMCA Location * --None-- Bremerton Family YMCA Gordon Family YMCA Haselwood Family YMCA Lakewood Family YMCA Mel Korum Family YMCA Pearl Street Family YMCA Tacoma Center YMCA Tom Taylor Family YMCA University YMCA What Would You Like to Cancel? * --Not Applicable-- Full Account Individual Members Reason for Cancellation * --Not Applicable-- Financial Other care options Program is not a good fit Dissatisfied with program Other Pool Closure Person(s) to Remove Additional Information for Cancellation Subject 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. * Submit