Required fields are marked with asterisks (*)

Pass Cancellation Form

To cancel your Louisville Recreation & Senior Center membership, please complete the information below.

To avoid being charged for the next month, submit your cancellation request by the fifth day of the current month. Monthly payments will continue until we receive your cancellation request.

Learn more about membership cancellations here.

Name

Date

Phone Number

Email Address

Address

City

Zip Code

Pass Number(s)

Reason for Cancellation