Membership Application 2-15 - YMCA of the Inland Northwest 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Household Information' section. Enter the primary adult's name, date of birth, email, phone number, and address. Ensure all fields are completed accurately.
  3. List all household members under 'Household Member' sections. For each member, provide their name, birth date, and total monthly income.
  4. Indicate your requested financial assistance by checking the appropriate boxes under 'REQUEST FOR FINANCIAL ASSISTANCE REQUESTED'.
  5. In the 'YOUR PERSONAL STORY' section, share any additional information that may help in evaluating your application.
  6. Finally, review your entries for accuracy and completeness before signing and dating the form at the bottom.

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Family membership includes up to two adults and all dependents (age 26 and under) in the same household. To add people to your membership, everyone must be part of the same household.
You will need a membership. You can only use someone elses guest pass a limited number of times. If you let them know youre interested in membership, you may be able to get a couple of free passes, but they dont always do that. They do have financial assistance options if you need that.
Does Medicare Cover YMCA Membership? Officially, Original Medicare does not offer benefits to cover the cost of fitness programs such as a membership to a YMCA. Yet, the costs of a YMCA membership may be covered by your plan provider if that is an enrollment benefit they offer.
Always Welcome in Any Community As a valued Y member, you can access hundreds of participating Y locations across the U.S. and Puerto Rico at no additional cost. Whether youre at home, traveling for work, or on vacation, were here to support you.
Nationwide membership makes that investment real by giving you easy access to more than 2,600 Ys across the United States (including Puerto Rico) at no additional cost to you. You will find a safe and welcoming Y community wherever you are.

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Breadcrumb Tracks, Basketball Courts, and More. Get Fit Together with Group Fitness Classes. Dive Into YMCA Pools. Tailor Your Workouts with Personal Training. Child Watch: A Safe, Fun Environment for Your Kids. Utilize Your Member Discount for Programs. Invite Your Friends with a Guest Pass.
Available with select Medicare Advantage plans and some Medicare/Medicaid combinations, insurance paid memberships provide eligible members with no-cost YMCA memberships to help achieve better health through regular exercise and health education.

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