CLICK TO CANCEL

We're sad to see you leave!

If you choose to reactivate your membership later (and we truly hope you do), the rates in effect at that time will apply, as they may change.
If you’d prefer to pause your membership instead of canceling, you can request a Membership Hold for 30, 60, or 90 days. You can choose one of these options on the form below.
The YMCA offers financial assistance for those with fixed or low incomes. Please contact us at 815-223-7904 X036 or by email if you would like to see if you qualify for financial assistance.
** Cancellation must be made before the 10th of the month to cancel for the current month, fees are always drafted out of the bank on the 15th.

Date(Required)

Phone(Required)

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Membership Type(Required)

LIST ADDITIONAL NAMES ON MEMBERSHIP:

Instead of cancelling my membership, I would like to put my membership on hold for:

I request the Illinois Valley YMCA/Mendota YMCA to terminate my authorization to draw pre-authorized drafts for membership payment as of:(Required)

Reason for Cancellation:

Comments or Concerns:

Signature(Required)

Please type your full name to sign