Membership Application Forms & Process


To sign up for a membership please visit the Keene Family YMCA Welcome Center. A Welcome Center Representative will be happy to assist you with registration. Membership sign-up typically takes between 10 and 15 minutes. To expedite the process you can download all necessary forms right here and bring them in with you already complete. Of course, all forms are available at the Y Welcome Center and can be filled out at your leisure in our comfortable Community Lobby. 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 for proof of account ownership. We do not accept debit cards for draft accounts, so please be sure to have your checking account number and routing number when signing up for membership. Payments are drafted on the 15th of each month. Please note that you will be required to pay your join fee and 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.

Downloadable Membership Forms:

Please Complete Each of the Following Forms:

Membership Application

PAR-Q   (This form needs to be filled out by every member age 15-69- One per member)

Liability Waiver

Member Engagement Survey

Please Choose One:

Monthly Payment– Credit Card draft option

Monthly Payment- Checking Account draft option

Annual Payment- Does not require a specific form

To Cancel a Membership:

Cancellation Form– Cancellation requires a 30 day notice. Forms need to be submitted to the Y, with 30 day notice beginning from the date it is received. Cancellations may be returned to the Welcome Center, faxed to (603) 355-8018, mailed to 200 Summit Road, Keene, NH 03431, or emailed to Jocelyn Frain, Member Services Director.