The Y

Account Cancellation Request

Please provide your details below to request an account cancellation.
*Please refer to your centre's terms and conditions.

Please select your local Y *

First name *

Surname *

Email *

Phone number *

Membership type *

Student's First Name (if applicable)

Student's Surname (if applicable)

Reason for Cancellation *

If reason not specified, please provide more information.*

Terms and conditions * I have read and agree to the terms and conditions.

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