YMCA Enrollment Form
We're so glad you'll be taking advantage of the partnership between Tidewater Friends of Foster Care and the YMCA!

Please take a few moments to fill out this form.

Notes about membership:
1. Children must be AT LEAST 3 YEARS OLD to qualify for membership through our partnership.

2. Membership must be in the Name of a FOSTER YOUTH within the TFFC service region (see agency list below).

3. Memberships MUST BE USED AT LEAST 10 TIMES PER QUARTER (10 times in 3 Months) for the membership to remain active.

South Hampton Roads and Virginia Peninsula's YMCA:
On or around the 1st of next month, the YMCA will send you an activation email, stating that a Membership has been established in your name. Once you receive that email you will be able to go to your nearest location and pick up your scan tags and take your new member photos.

Greater Richmond YMCA:
Between the 20th and the 25th of this month, TFFC will send you an email inviting you to create an online account and sign the necessary waivers. On the 1st of next month your account will be activated if you have followed the necessary steps. 

Important Info:

We support one membership per household with up to 3 adults over 24 years old and unlimited number of children - all members must reside in the household.

NOTE: Open enrollment periods are quarterly: March 1-20, June 1-20, Sept 1-20, Dec 1-20. 

PLEASE NOTE THAT AT THIS TIME WE ARE UNABLE TO OFFER MEMBERSHIPS OUTSIDE OF THE SOUTHAMPTON ROADS, VIRGINIA PENINSULA, AND GREATER RICHMOND YMCA NETWORKS. We are working to expand this program and will keep you updated in future open enrollment periods. If you are located more than a 45 minute drive from the nearest in-network location your membership will be denied.

Thank you!
The Tidewater Friends of Foster Care Team
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Email *
Foster Child's full name (primary member) *
Gender *
Date of Birth of foster child (primary member) *
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DD
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Emergency Contact Name *
Emergency Contact Phone *
Name of social worker (if no longer in care put N/A) *
Phone number of social worker (if no longer in care put N/A) *
Which department of human services holds/held custody of your foster child? *
Required
Primary Caregiver's full name, Date of Birth, Age and Gender *
Primary Caregiver's phone number *
Primary Caregiver's email address *
Primary Caregiver's mailing address *
Total Number of Household Members on the membership *
List ALL Household Members: Full NAME, DATE OF BIRTH, AGE and GENDER *
I promise our family will use the membership and meet the minimum usage requirements of 10 visits per quarter. *
Required
We partner with The YMCA in South Hampton Roads, on the Peninsula and in the Greater Richmond area. Please choose your location: *
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