Edwardsville YMCA Fall 2 Program Form
Due to the governor's Tier 3 mandate, our Fall 2 session is paused. If we are unable to resume classes before the end of the session on December 20th, please let us know how you would like us to process your prorated refund: donate it to the YMCA (tax deductible), receive a credit voucher on the account for future use, or receive a refund check in the mail. You will need to fill out the below form for each person signed up for classes.
Email address *
Program Participant Last Name *
Program Participant First Name *
Phone Number *
Please Indicate How You Would Like To Process This Participant's Class(es) *
Donate Back To The Y
Credit Voucher On Account
Refund Check
Not Enrolled In This Program
Aquatics
Dance
Climbing
Fitness
Gymnastics
Skate/Hockey
Tennis
Volleyball
Martial Arts
Please Provide Any Additional Information To Help Us Assist You With Your Program Request
If requesting a mailed refund check, please provide your mailing address.
Changes To Your Membership
If you are making a change to your membership, please fill out this separate form: https://docs.google.com/forms/d/e/1FAIpQLSe3mtBQxLO-vGjYWthCGNAVVz-J0UIltD3zzLSKsLueYnRaVg/viewform
Thank You For Your Time!
A copy of your responses will be emailed to the address you provided.
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