YMCA at ACRC TERMINATION FORM

YMCA at ACRC Membership Application
We are sad to see you go! Please complete this form to terminate your Membership at the YMCA at ACRC.

MEMBER INFORMATION

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Gender *

REASON FOR TERMINATION

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MEMBERSHIP TYPE

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WOULD YOU LIKE US TO CONTACT YOU?

We are sad to see you go. If you have more questions or would like us to contact you, please check "YES". 
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TERMINATION AGREEMENT

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TERMINATION AGREEMENT
I understand that the YMCA at Austin Community Recreation Center required two full months of membership dues before terminating. I must terminate my membership by the 26th of the month in order to cancel my membership for the next month and stop the automatic debit/credit transfer of funds. My membership fees are non-refundable and I will be charged for the months I was a member even if I didn’t use my membership. By choosing to terminate my membership, I will have to pay the joiner fee if I decide to reapply for membership if more than 30 days have passed. Canceling my membership will result in forfeiture of any unapplied insurance reimbursement. I will be responsible for any outstanding balances before I am able to cancel my membership. *
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