HELLO!

What is the reason for changing your membership?

Modify your membership

Freeze your membership

Cancel your membership

Place your membership on a temporary hold

Freeze your account for up to 3 months

Keep in mind, we need to receive your request by the 15th of the month to ensure that you aren't charged for the upcoming month of membership. Drafts will automatically resume after a membership hold.

Would you like to change your membership type? *

Please list the names along with date of birth that need to be added/removed from the account: *

Changes made to this account may modify your monthly membership fees.

What caused your lack of use? *

What could have helped you utilize the Y more often? *

What could we add or do differently to help you rejoin the Y in the future? *

First Name *

Last Name *

Address *

City *

State *

Postal code *

Email *

Phone *

Thank you for being a valued member of the Lafayette Family YMCA!

Your request is currently being processed........

Membership Billing:

-We bill on the 1st of each month. To avoid next month's charges, cancellation or hold requests must be submitted by the 15th. Requests after the 15th will result in one final billing and your membership will remain active through the last day of the following month.

-Past due balances must be paid in full prior to cancelation

-Making a change to your membership may change your rate.

-Account holds will resume billing after the specified hold time

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages updates about future events at Lafayette Family YMCA.