Berkeley Member Cancellation Form

We're Sad to See You Go!

You will receive an email as soon as your Berkeley YMCA cancellation request has been processed. To guarantee that you won't be charged for your next month, please submit your cancellation request at least 7 days prior to your next draft date.
Name

First NameLast Name
Email
example@example.com
Birthday

MonthDayYear
Date
Please select your current membership type:
One AdultTwo Adults
Which adult would like to cancel?
I'm not using my membership enoughFinancial impactI don't have the timeI don't have the motivationDissatisfaction with program / class offeringsI found another gym / facilityI bought my own equipmentFacility is too crowdedScheduling conflicts with work, school, familyCOVID-19 safety concernsMedical ReasonsI've moved / relocatedI had a seasonal membershipI was on a trial / temporary membershipTravel / Vacation
Should be Empty:

We're Sad to See You Go!