Flexible Pricing

Flexible Pricing Form

WE GET IT!

One of the biggest challenges for our communities today is the rapidly increasing cost of living.

We believe that every family & individual deserves the opportunity to enjoy their local YMCA and connect with their community. This is why we offer financial assistance through flexible income-based pricing!

Our goal is to make Y programs as affordable as possible, while still supporting our staff and equipping and maintaining our facilities.

Simply fill out the form below and our staff will follow up and get you started!

Your First and Last Name *

Email Address *

Phone Number *

Date of Birth of Primary Applicant *

Month

Day

Year

Street Address *

City/Town *

Total Number of Adults in Household (including applicant) *

Total Number of Children in Household *

Please list all adults, children, and their birthdates in your household, regardless of their participation at the Y. *

Y Location *

Which types of Y services are you looking for? *

Membership

Program

Childcare

Camp

Please select the range of your gross household income for all adults living in the home, regardless of whether or not they plan to join the Y. *

In some cases income verification is required so funds are fairly distributed. *

I understand

If verification is needed, you’ll receive a link for secure online upload of most recent tax return or verifying documents. *

I understand

By initialing this form, I certify that all of the information reported on this form is complete and correct, including my gross household income for all adults living in the home. *

Leave this field blank

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YMCA of the North Shore

Flexible Pricing

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