Membership Application 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. You’ll find the application forms available for download below.
You can also join online. Click here to select your membership type and begin your application.
The process looks like this:
- Choose your membership type and payment method.
- Complete an application, waiver, PAR-Q and payment form if applicable.
- 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)
- You may start using the facility immediately!
Please complete each of the following forms:
- Membership Application
- PAR-Q (This form needs to be filled out by every member age 18+. One per member)
- Liability Waiver (This form needs to be filled out by every member age 18+. One per member)
- Code of Conduct (This form needs to be filled out by every member age 18+. One per member
- COVID-19 Code of Conduct Addendum
Click here for the Keene Family YMCA Membership Policy, updated July 7, 2021.
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, MasterCard, or Visa.
PAYING BY ELECTRONIC FUNDS TRANSFER/CREDIT/DEBIT CARD
To set up an EFT you need to provide a voided check or your current credit/debit card and fill out a form at the Welcome Desk. 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.
Please choose one:
- Monthly Payment – Credit Card draft option
- Monthly Payment – Checking Account draft option
- Annual Payment – Does not require a specific form
At the Keene Family YMCA, we believe no one should be denied membership or program participation because of an inability to pay. Our Membership for All program applies a sliding fee scale, based on total household income, number of dependents, and special circumstances and needs. All of this is made possible through the generosity of donors to our Annual Campaign. To learn more, and to see if you qualify, click here.
To cancel a membership you will need to provide the Y a 30 day notice by completing a cancellation form and return it to the Y Welcome Center, faxed to (603) 355-8018, mailed to 200 Summit Road, Keene, NH 03431, or emailed to firstname.lastname@example.org. 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. You may be subject to the re-join fee at time of reactivation. Cancellation Form.
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. Update online
Membership holds are allowed for medical need. If you are in need of a Medical Membership Hold, please provide the Y with a doctor’s note and notice. Please contact Joshua Arroyo-Torres, Membership Director at 603.283.5260 or email@example.com
The Y reserves the right to suspend, terminate, or deny membership if a member’s or prospective member’s behavior or language is deemed to be in conflict with the welfare of either Y staff or patrons, or is deemed in conflict with the Y mission. Members 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.