Request
Account
Changes

Request Account Changes

Name*
First Name *
Name*
Last Name *
Email Address*
Confirm Email*
Date of Birth*
MM slash DD slash YYYY
Home branch*
What would you like to do?*
If you had an active Y membership in the past 6 months, we can reactivate the membership for you. Please include the Membership Type and Names/DOB of household members you would like to reactivate. (Applicable Join Fee and dues prorate will be applied).

If outside of 6 months, please Renew your Membership via your Online Account HERE or complete the Join process here so that you may provide updated payment and membership information and agree to current Terms and Waivers.
Enter member reactivation details*
If upgrading your membership, please list Name(s) and DOB(s) of Household Member(s) you would like to add to your account.
Enter member upgrade details*
If downgrading your membership, please list Name(s) and DOB(s) of Household Member(s) you would like to remove from your account.
Enter member downgrade details*
The Y allows a $10.00 per month (3 month maximum) HOLD for one of two reasons: Medical Or Temporary Relocation for work/school/travel. If your request is for reasons other than these, you may elect to continue or cancel your membership.
Enter membership hold details*
If canceling your membership, please share with us the main reason for your cancellation? Note: This will serve as your 30 day written notice - you will receive a confirmation over the next business day.
Enter cancellation details*
Please let us know how we may we assist you regarding any changes to your childcare or other program sign ups.
Enter change request details*
If you have another request not listed, please let us know how we can assist.
Enter other request details*