Submissions for this form are only for members of the Butler County Family YMCA.

Cancel your membership directly from your membership account.

CANCEL MY MEMBERSHIP

Cancellation requests no longer require a seven-day notice. Log in to your membership account and select "Manage Membership" to cancel.

Holds and Changes MUST be requested through the form below.

Modify Membership Contact Forms

Enter all required information and select your home branch. Fill out the appropriate form based on your request.
Your YMCA Branch
I would like to...
Members may hold their membership for 2 consecutive months without paying dues.
Change your current membership type to a different one,.

Hold Membership Form

Please read each statement below, then select each checkbox as receipt of acknowledgement.

Change Membership Form

Would you like to add additional member(s) to your account?
Please add all NEW members who are not currently on your membership account. First & Last name and Birthdate are required for all.
First & Last Name
First & Last Name
First & Last Name
First & Last Name
By checking the box of each statement below, you understand that:

Cancel Membership Form

Did you know you can Hold your membership for up to 2 months without paying membership dues? Just select "Change my Membership" under the "I would like to..." section.

Did you know you can Hold your membership?

You can Hold your membership for up to 2 months without paying membership dues! If you cancel, you may need to repay the Join Fee when you return. Scroll up and select "Hold my Membership" to continue.

We offer financial scholarships!

Before you go, we'd like to invite you to apply for our scholarship program. Members who qualify can receive discounts on membership dues and programs. Fill out the form by going here: ADD FORM
Please read each statement below, then select each checkbox as receipt of acknowledgement.
Account will be charged non-member rate for program if membership termination is submitted. Request membership type change appropriate to family member in program by emailing rosebilling@bcfymca.org. Request requires seven-day notice prior to billing date. You MUST receive a confirmation to ensure your request was received.
Please authorize this submission with your signature.