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Membership Hold Request Form
You may hold your monthly membership draft up to 3 months per year. Please complete the form below to submit your request. By completing this form you authorize the Regional YMCA to skip a monthly draft. I understand that my draft will automatically restart on the following month.
Members must give at least a 30-day notice from their draft date for membership holds.
Members are unable to use facilities until draft automatically restarts.
To unfreeze your membership prior to the restart date, contact the Member Service Desk at 203-775-4444.
For any questions contact Janice Waterbury at jwaterbury@regionalymca.org
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Email
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Your email
Members First and Last Name
*
Your answer
Members Address
*
Your answer
Members Phone Number
*
Your answer
I would like to hold my membership for:
*
1 month
2 months
3 months
Required
Reason for membership hold
*
Your answer
A copy of your responses will be emailed to the address you provided.
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