YMCA Summer Membership Eligibility Form

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The Santa Monica Family YMCA is excited to support families to help you stay healthy, active, and connected! Enjoy access to strength and cardio rooms, free childcare while you work out, and quality family time in our heated pools and basketball gym. Assistance is also available for qualified youth programs.

To get started, please complete the form below. The information may be detailed, but it's necessary to set up your membership correctly. Once submitted, a YMCA team member will follow up with next steps.

Adult 1 Name *

Adult 1 Date of Birth *

YYYY

Adult 1 Gender *

Female

Male

Non-Binary

Other

Prefer not to say

Adult 1 Primary Phone *

Adult 1 Email Address *

Would you like to provide information for a second adult (in the same household)? *

Yes

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