Membership Cancellation Form

Policy:

If you wish to cancel your membership with us, we ask that you please fill out and submit our form below.  Please allow 3 business days for cancellation.

Please fill out and submit the form below to request your membership cancellation.  You will receive a confirmation within seventy -two (72) hours.

IMPORTANT:  If you do not receive a confirmation email within seventy-two (72) hours, please call our Front Desk at 617-625-5050 or email frontdesk@somervilleymca.org.

Thank you!

Membership Cancellation Form

Please note: We are the Somerville Y in Massachusetts, not New Jersey!

Full Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Membership Type *

• General Membership
• Women's Health Center
• Men's Health Center
• Family

Length of Membership *

• Less than 6 Months
• Over 6 Months
• Over 1 Year
• Over 5 Years

Date you would like to cancel *

Feedback

Please consider answering the following questions, so we can identify areas to improve and best serve the community.

Reason for Cancellation

• Relocation
• Financial Reasons
• Medical Reasons
• No Longer Using Facilities
• Switching to Another Facility
• Dropping for Summer/Winter
• Dissatisfied with Facilities
• Other

What rating would you give the Somerville YMCA Facilities

• Excellent
• Good
• Average
• Poor

What was the primary reason you joined the YMCA

• Location
• Facilities
• Cost
• YMCA Mission
• Other

Which Features did you use the most?

• Pool/Aquatics
• Cardio Equipment
• Indoor Track
• Olympic Lifting Room
• Basketball Court
• Nautilus Room (Cardio)
• Yoga
• Bootcamp
• Pickleball

Submit