Membership Hold Request

By filling out this form, you agree to put your current YMCA membership on a temporary hold. 

Thank you. 

VIRTUAL ONLY MEMBERSHIP OPTION

Our new Virtual Only membership option will help you overcome the everyday challenges brought on by the pandemic while keeping you physically active and connected to your YMCA community. To learn more about our Virtual Only membership, click here

If a youth membership, please provide the youth's full name and birthdate.
Only needed if this is a corporate membership.