Membership Cancellation Request Form

First Name*

Last Name*

Date of Birth*

Email*

What is your reason for cancelling?*

Did you join another facility?*

Yes No

If you joined another facility where?

What could the Y have done to better meet your needs?*

Hours of Operation

Staffed Hours
- Monday - Friday, 5 AM to 9 PM
- Saturday - 8 AM to 5 PM*
  *Summer Hours, Memorial Day to Labor Day, 8AM to 1PM
- Sunday - CLOSED
24-Hour Access available to members
during non-staffed hours. Stop by
the Welcome Center to learn more
and activate your access.

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Contact

300 E. Parkwood Street
Sidney, OH 45365
937-492-9134

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