YMCA of Northwest Florida
YMCA of NWFL
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Cancel My Membership
For cancellation to take effect before your next draft, please submit this form at least seven (7) days prior to the draft date.
First Name
Last Name
Location
Bear Levin Studer Family YMCA
Northeast YMCA
Betty J. Pullum Family YMCA
Email Address
Cancellation Date
Cancellation Reason
Cost/Financial Reasons
Dissatisfied With Facility
Dissatisfied With Staff
Hours/programs/classes Not Convenient
Lack of Motivation
Lack of Time
Location No Longer Convenient
Seasonal (Summer)
Seasonal (Snowbird)
Medical Circumstances
Moving out of area
School/Education
Switching to Another Facility
Where?
Where?
Please Specify
If there were one thing that would change your mind about leaving the Y, what would that be?
Signature
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Our Mission:
To put Christian principles into practice through programs that build healthy spirit, mind and body for all.