Edwardsville YMCA Membership Cancellation & Change Form
We know that life can change in an instant. If you need to make a change to your membership, please fill out this brief form to let us know how you and your family would like to change your membership.
Please make sure you receive a confirmation email after you have filled out this form to, if you have not please fill the form out again. Email will come from "Google Forms".
Sign in to Google
to save your progress.
Name On Account
Please Indicate How You Would Like To Change Your Membership
Upgrade (Ex. To Full Privilege Or From Individual To Family/Couple)
Downgrade (Ex. From Family/Couple To Individual)
Change Your Banking Information
If Cancelling, Please Indicate The Reason
Public Health Concerns (ex. Covid-19)
Moving Out Of The Area
Joined Another Facility
Unable To Use Amenities When Desired
Lack Of Motivation/Use
Price Of Membership/Programs
Loss Of Family Member
Only Joined To Participate In A Program/Team
N/A (Only Use If Up/Downgrading)
Please Provide Any Additional Information To Help Us Assist You With Your Membership Change.
I understand that the Edwardsville YMCA requires a 7 days written notice prior to the draft date (15th) to process changes.
Changes To Your Membership
If you are making a change to your membership, we will contact you to make these changes at the provided phone or email.
Thank You For Your Time!
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of YMCA of Edwardsville.