Get Your Membership Started!

Do you have a promo code for this membership?

Yes

No

What is the promo code?

We're excited to welcome you to the Y.

This form has two pages. The first is all about who will be a part of your membership. Make sure you know what kind of membership you'd like and who will be on it (including their birthdates)

The second page will ask about how you will pay for your membership. You will need your banking information if you plan on paying with a monthly bank draft.

Once submitted, our team will reach out to finalize your membership and give you the tools you need to make the most out of your membership.

We're excited to welcome you to the Y

through our Membership Referral Promotion.

This form has two pages. The first is all about who will be a part of your membership. Make sure you know what kind of membership you'd like and who will be on it (including their birthdates). *Youth/Teen memberships are not included in this promotion.

The second page will ask about how you will pay for your membership. As part of the Membership Referral Promotion, you will need your banking information to pay with a monthly bank draft.

Once submitted, our team will reach out to finalize your membership and give you the tools you need to make the most out of your Y experience.

First Name *

Last Name *

Birthdate: * +

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Best method to contact you? *

Email

Phone

Select your home branch: *

YMCA at Pabst Farms

Watertown Area YMCA

How did you hear about the Y? *

Did you know that we are offering a referral promotion that gives both the current member and the new referral 20% savings off of their membership rate?

If you would like to participate in this promo, please list your friend and their email address below to have them complete the referral form.

If your friend has already completed the form on your behalf, you should skip this step, but list 20/20 in the promo field.

Do you have your friend's email

Yes

No

Friend's name:

Email:

What membership type are you interested in?
.*Household membership includes one or two adults and their dependents (children under age 24 if full-time students), all residing in the same household.
.** Senior Household: Both individuals residing at the same address must be 62+ years old to qualify for a Senior Household membership *

Youth/Teen (0-19 years) $32/month for the first year	Young Adult (20-24 years) $44/month for the first year	Adult (25+ years) $66/month for the first year	Household* $93/month for the first year	Senior Adult (62+ years) $59.40/month for the first year
Senior Household** $83.70

If none of these memberships types fit your needs, please identify the membership type you are interested in?

Does your employer participate in our Corporate Membership program? *

Yes

No

I don't know

If you don't know if your employer partners with the Y, you can check this list or fill in their name below.

Please list your employer name here: *

Partnering employers provide an investment toward the membership that the Y matches. Our Membership team will confirm your employee rate before your membership starts.

You will be asked to provide proof of employement to acess your employer rate. Employement verification is initiated by the Y on a regular basis.

What membership type are you interested in?
.*Household membership includes one or two adults and their dependents (children under age 24 if full-time students), all residing in the same household.
.** Senior Household: Both individuals residing at the same address must be 62+ years old to qualify for a Senior Household membership *

Youth/Teen (0-19 years) $17/month for the first year	Young Adult (20-24 years) $22/month for the first year	Adult (25+ years) $43/month for the first year	Household* $62/month for the first year	Senior Adult (62+ years) $22/month for the first year
Senior Household** $33	Other

Please list the first name, last name and date of birth of the other members of your household?

+-

Please list the first name, last name and date of birth of the other members of your household?

+-