PROGRAM CHANGE FORM

NEED TO CHANGE YOUR MONTHLY ENROLLMENT?

You can use this form to end your Monthly Enrollment Program, or to change the day/time you're scheduled to attend.

* indicates required field

Name:*

Name of Program Participant:*

Email:*

Name of Monthly Enrollment Program to Change:*

Scheduled Day/Time of Program:*

(e.g. Mon/Wed at 10am)

Please let us know whether you would like to Cancel the Enrollment, or if you'd like to Switch the Day and Time to a different schedule listing.

Change My Enrollment:*

Switch Day and Time
Cancel December 1
Cancel January 1
Cancel February 1

Check the item for earliest date you'd like to cancel the program, unless you elect to Remain Enrolled.

Switch the Day and Time to:

*Please specify the new day/time here.

Do you have any Feedback for us about our program?

Message:

*Cancellation deadline: let us know by the 15th of the month so we can remove you from the roster for the following month and cancel your next draft. You will be able to attend the class through the end of the month, and you will not be charged for the program the following month.

HOCKOMOCK AREA YMCA

300 Elmwood Street
North Attleboro, MA 02760
508.695.7001

MEMBERSHIP
COMMUNITY
CAUSE
CAREERS

HOCKOMOCK AREA YMCA LOCATIONS

BERNON FAMILY BRANCH	45 Forge Hill Road Franklin, MA 02038	508.528.8708
INVENSYS FOXBORO BRANCH	67 Mechanic Street Foxboro, MA 02035	508.543.2523
HURLEY FAMILY BRANCH	300 Elmwood Street North Attleboro, MA 02760	508.695.7001
MANSFIELD ARTS & EDUCATION CENTER	40 Balcom Street Mansfield, MA 02048	508.339.3066

PROGRAMCHANGE

NEED TO CHANGE YOUR MONTHLY ENROLLMENT?

HOCKOMOCK AREA YMCA

HOCKOMOCK AREA YMCA LOCATIONS

PROGRAM
CHANGE