YMCA of Metropolitan Washington Membership Cancellation Form

We are sorry to learn that you wish to discontinue your YMCA membership at this time. Please complete this form and answer all questions asked so that the YMCA can best support you. After you have successfully completed this form, unless you have indicated that you'd like to speak with a Y team member about the possibility of continuing your YMCA membership, your Y membership will be cancelled in accordance with the policies outlined in the membership handbook, found HERE.

If you have any questions, please email member.service@ymcadc.org.

Name (as reflected on your membership account)

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

YMCA Member Number

This can be found on the back of your YMCA card.

Please select your home branch

When did you join the YMCA?

What was the primary reason you joined the YMCA?

Other

Was the reason that you joined the YMCA satisfied/achieved?

What did you enjoy most about your experience with the Y?

How many days per week did you normally go to the Y?

At the Y, did you normally... (please select all that apply)

What is the main reason you want to discontinue your membership at this time (please select one)?

Thank you for your feedback. If the YMCA can make an improvement in this area, would you reconsider cancelling your membership?

Please share any additional comments

As resources are available, the YMCA offers financial assistance to members in need that can help them continue their YMCA membership. If the YMCA could provide financial assistance, would you be interested in continuing your membership?

Would you like to speak with a Y representative about continuing your YMCA membership?

How likely are you to recommend the YMCA to a friend or colleague?

The YMCA strives to continue improving service to all members. Please share what you feel the YMCA could have done to provide better service to you, if anything.

Your safety and well-being are the YMCA's top priorities. Are there any additional measures or practices that the YMCA can put into place to make you feel more comfortable at the Y?

Do you have any additional comments or recommendations that you'd like to provide to the YMCA? If so, please share.

Thank you for your time and feedback. Unless you indicated that you'd like to speak with a Y team member about the possibility of continuing your YMCA membership, your Y membership will be cancelled in accordance with the policies outlined in the membership handbook, found HERE.

If you have any questions, please email member.service@ymcadc.org.