Membership Application Forms & Process


We are so glad that you have decided to become a member. We would be happy to assist you with the application process at the YMCA Welcome Center during all business hours. To expedite the application process you may choose to download your application and fill it out ahead of time. The process will take between 5 and 10 minutes depending on the number of family members on the application. The process looks like this:

  1. Choose your membership type and payment method.
  2. Complete an application, waiver, PAR-Q and payment form if applicable
  3. We enter the data into our system
  4. All members must be photographed for security purposes at the time of application(those not present upon application will have their photos taken on their first visit)
  5. We will issue your membership key tags.
  6. You may start using the facility immediately!


All of our membership categories allow you to either pay annually or use our Electronic Funds Transfer system to pay monthly from an active checking account.


To set up an EFT with the Y you simply need to fill out an EFT form at the Y Welcome Center and provide a voided check or your current credit/debit card for proof of account owner- ship.. Payments are drafted on the 15th of each month. Please note that you will be required to pay the pro-rated amount until the next draft at the time of membership activation.

Any declined transaction will be subject to a $25 charge by the Y and additional charges by your bank. Our automated system will continuously attempt to collect overdue funds. Please be aware that some banks charge additional fees for each attempt and the account holder is responsible for all fees incurred.


To cancel a membership you will need to provide the Y a 30 day notice by filling out a cancellation form which can be returned to the Y Welcome Center, faxed to (603) 355-8018, mailed to 200 Summit Road, Keene, NH 03431, or emailed to A final draft payment will come out of your account on the 15th of the month and you will be able to use the Y until the 14th of the next month. This final transaction cannot be waived or cancelled and was acknowledged in your original EFT contract. Memberships cancelled and restarted will be subject to the re-join fee upon reactivation. You may download a copy of the cancellation form by clicking the following link. Cancellation Form.


At any time you may upgrade or downgrade your membership by simply filling out a new EFT form. Please note membership fees are non- refundable.


In order to provide you with quality service we need to be updated of name, address, phone or email changes. If contact information is not up to date you may not receive important notices of rate or service changes, class cancellations or other valuable information. The Y is not responsible for members not receiving timely information if contact information is incorrect or incomplete in our system. All information provided to the Y is confidential and will never be shared or sold.


Membership holds are allowed for Medical need only. If you are in need of a Medical Membership Hold, please provide the Y with a doctor’s note and notice. Please contact Jocelyn Frain, Member Services Director, 603.283.5260 or


The Y reserves the right to suspend, terminate or deny membership if a member’s or prospective member’s behavior or language is judged to be in conflict with the welfare of either Y staff or patrons, or is deemed in conflict with the Y mission. Member’s are responsible for reviewing and abiding by the Y Member’s Code of Conduct. The final decision will be rendered by the Executive Director. Membership fees paid will not be refunded.


The Y is a membership based organization and our main objective is to serve our members. We do welcome guests at the Y and encourage our members to bring their friends and family to our facility.

  • All monthly memberships include 3 guest passes per year. Monthly family memberships include 5 guest passes per year.
  • Additional guests will pay the following fees per visit:
    • $7 for Youth (under 18)
    • $15 for Adults (18+)
    • $25 for Families (2 Adults and up to 4 children per household)
  • Guests under 18 years old must have a guardian present in the facility with them
  • Guests will be required to fill out contact paperwork, have a photo taken and provide proof of ID.
  • Guests must abide by the Y Code of Conduct


Use your Y membership away from home! The Keene Family YMCA is pleased to participate in the Y’s Nationwide Membership program. Keene Y members may visit any other participating Y in the nation for FREE! To enjoy the Nationwide Membership benefits, a Y member must have an active membership at their home Y. Restrictions may apply. Please call your home Y with any questions.


The Y is an internationally recognized organization and yet there is often a misconception that we operate like a chain. Every Y is independent or part of an association of Y’s in a given area. We follow the same mission, but the work we do is molded around the communities which we serve. Each Y creates its own policies and offers its own types of memberships and programs. Y of the USA serves as a resource to Y’s nationwide, assisting us with maintaining a unified voice.


Please complete each of the following forms:

Please choose one: