Stay With Us: Edwardsville YMCA Annual Membership & Program Questionnaire

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As a non-profit we rely on the support of our community and in this unprecedented time our community is very important to our future. We are grateful for your continued membership and support. Please take a moment to answer a few short questions.

Email *

Name On Account *

Phone Number *

Please indicate your preference regarding your Annual Membership *

Please DO NOT extend my expiration date. I wish to donate that portion of my annual membership fee to the YMCA.

Please continue to extend my expiration date to compensate for the days the YMCA was closed due to the COVID-19.

Other:

Required

Select Any Program Options You Were Registered For At Time Of Closure That You Would Like To Gift

Activity Day Camp

Allison Cassens ECDC

Aquatics (Swim Lessons)

Arts & Humanities (Dance, Art, Music, Theatre)

Climbing

Gymnastics

Gymnastics Team or Tumbling & Trampoline Team

Health & Wellness (Yoga, Fitness Classes)

Preschool (Niebur)

Rec. Sports

Skate (Hockey)

Tennis

Other:

Would you like to be contacted? *

Yes

Thank You For Your Generosity & Continued Support! #StayWithUs

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