To submit this form, deliver it to your local YMCA branch either in person or via mail. You can also email a scanned copy to the provided email address or use the YMCA’s online submission form if available. For physical submission, ensure your form is sent before the required deadlines to avoid additional fees. Mailing address: YMCA of Middle Tennessee, [specific address]. Email submission: contact@ymcatn.org. Fax number: [fax number]. Online submission form: [YMCA website link].

To avoid additional fees, ensure your Change or Cancellation Form is received by the YMCA by the 29th of the prior month if your dues are withdrawn on the 1st of the month, or by the 13th of the current month if your dues are withdrawn on the 15th of the month.

The YMCA Membership Cancellation Form serves as an official request to terminate membership at the YMCA. This form collects essential details from members, facilitating an organized and efficient cancellation process. It is essential for stopping bank drafts, updating membership records, and determining if additional fees apply.

• 1. Company Name: The name of the corporate partner company.
• 2. Member First and Last Name: The first and last name of the member requesting cancellation.
• 3. Home Address: The address where the member resides.
• 4. Primary and Additional Phone: The contact phone numbers of the member.
• 5. Member ID: A unique identifier assigned to each member.
• 6. Birthdate: The birthdate of the member.
• 7. City, State, Zip Code: The city, state, and zip code of the member's residence.
• 8. Email: The email address of the member.
• 9. Reason for Cancellation: Reasons provided by the member for requesting cancellation, such as moving, financial burden, or dissatisfaction.
• 10. Additional Amenities: Optional amenities linked to the membership, such as parking, locker, or tennis.
• 11. Signature of Cardholder/Account Holder: The signature of the person holding the card or account linked with the membership.
• 12. Staff Signature: Signature of the staff member processing the form.
• 13. Parent/Guardian Signature: Signature of a parent or guardian if the member is under 18.
• 14. Date: The date the form is signed.
• 15. Company Representative: Details of the company representative if applicable.

Failing to submit the form may result in continued membership billing and additional fees. Ensure timely submission to avoid these issues.

• Continued Billing: The YMCA may continue to withdraw membership fees from your account.
• Additional Fees: You may incur extra fees if the cancellation process is delayed.
• Inconvenience: Members may face unnecessary inconvenience and delays in processing their cancellation.

• 1. Membership Cancellation: When you decide to terminate your YMCA membership.
• 2. Moving Away: When you relocate and can no longer use the YMCA facilities.
• 3. Financial Hardship: When you are unable to afford the membership fees.
• 4. Dissatisfaction with Services: When you are not satisfied with the services provided by the YMCA.
• 5. Medical Reasons: When health concerns prevent you from utilizing your membership.