Glacial Community YMCA 
(Must be 18 years of age or older to complete)
By checking this Electronic Signature Acknowledgment box, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature.

I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

I also understand this form is available to me on paper and I can choose to get and fill out a copy of the paper form at any time by contacting the YMCA at Pabst Farms or the Watertown Area YMCA.

Is this waiver for membership or a program? *