YMCA of Lethbridge
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Cor Van Raay YMCA
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West Coulee OSC
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Fee Assistance Application & Renewal
Application to access subsidized membership or day pass rates through our Shape [Y]our Future community donors
Full Name
Birth Date
Phone Number
Email Address
Mailing Address
Emergency Contact Full Name
Emergency Contact Phone Number
Number of People in Your Household
Do you have additional family members to be included on your membership or day pass?
Yes
No
Enter Full Names and Birthdays of the additional family members below (if applicable.)
Choose a Membership Type
Assisted Day Pass
Assisted Monthly Membership
Please upload all files required for your application.
Please upload all files at the same time, uploading each file individually results in an error.
Additional details/comments:
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Questions?
Check out our FAQ page or feel free to contact us!
FAQ
Abbey Ehlert
Coordinator, Financial Assistance
Email
Phone
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