Membership Agreement

Membership Agreement

Monthly Dues Payment Options

Monthly Draft

Monthly payments will be drafted from your checking or savings account, debit or credit card (Visa, MasterCard, Discover or Amex).

Rate Change

The YMCA Board of Directors may, at their discretion, adjust the monthly rate applicable to my category of membership. I understand that I will receive at least a four-week notice prior to any such change.


Fees are paid in full upon joining/renewal via cash, check, debit or credit card.

Down Payment

Down payment (joiners fee + pro rated first month) is due at time of enrollment and is based on join date.

Joiners Fee

A one-time joiners fee is due for all Full members upon joining/rejoining the Regional Y.  Joiners fee will be waived if reactivating a membership within 60 days of cancellation.


This is a continuous membership plan. It is my understanding that if I wish to terminate or change my membership in any way, I must give the YMCA 30 DAYS WRITTEN NOTICE. (Member must complete the membership cancellation form online, in person at the Greenknoll branch or email your cancellation request to or

Authorization for Draft Payments

By clicking submit below, I have given authority to my Bank and/or Credit Card company to honor preauthorized payments drawn by the Regional Y on my designated account for membership payments as indicated above. It is understood that the Regional Y’s sending of a preauthorized payment to the Bank or Credit Card company as payment becomes due shall constitute valid notice of such payment due on this membership. When the Bank or Credit Card company honors the payment by charging my account, such payment shall constitute my receipt. Should any preauthorized payment not be honored by said Bank or Credit Card company when received by them, then it is understood that payment is to be made by me in the amount of said payment.

Returned Payments

Should my Bank or Credit Card Company not honor any membership draft for any reason, I realize that I am responsible for that payment plus a $15 SERVICE CHARGE applied by the Regional Y and any service fee my Bank or Credit Card Company may make.


I understand that all billing discrepancies must be reported within 90 DAYS of the original transaction date. Automatic drafts will be withdrawn on the business day closest to my assigned draft date. If the Regional Y’s first attempt to charge my card is declined, the Regional Y reserves the right to retry the charge within 5 business days of original attempt.

Releases & Waivers Of Liability

I understand that the Regional Y, its Officers, Directors, Employees, and Independent Contracting Staff (Regional Y), assume no responsibility for injuries or illnesses which I, or those on my membership, may sustain as a result of physical condition or which may occur upon the premises of the Regional Y prior to, during, while participating in, or subsequent to any Y activity, and hereby release and discharge the Regional Y from any and all claims for injury, illness, death, loss or damage which I may suffer as a result of participation in these activities.

By participating in the YMCA Nationwide Membership Program, I agree to release the National Council of Young Men’s Christian Associations of the United States of America, and its independent and autonomous member associations in the United States and Puerto Rico, from claims of negligence for bodily injury or death in connection with the use of YMCA facilities, and from any liability for other claims, including loss of property, to the fullest extent of the law.

I fully understand that physical exercise has been associated with certain risks. The Regional Y recommends consulting with your physician before beginning an exercise program.

I acknowledge that the Regional Y does not carry an accident or health insurance policy on a member at any time.

I understand that the Cardiovascular and Strength Training areas at the Greenknoll Branch are periodically unsupervised.

In an emergency, I authorize the Regional Y to administer first aid by trained staff and to obtain emergency medical treatment for any person listed on this membership. I accept responsibility for all fees incurred in the care and transportation by ambulance to the Hospital Emergency Room.

I understand that the Regional Y is not responsible, nor liable for personal property lost or stolen while members, program participants and/or guests are using the Y facilities or on Y premises. I hereby discharge, release and waive the Regional Y from any and all irresponsibility in connection therewith.

I hereby acknowledge that open, family, adult, or other blocks of designated time are unsupervised and that the Regional Y does not provide, warrant, or assume any responsibility for such supervision. The Regional Y advises the undersigned members that he/she may not drop off or leave children under the age of 13 unattended at any time. Parent or guardian must remain in the building during these times. An adult in all areas of the facility must accompany children under the age of 11.

I give my permission to the Regional YMCA to use, without limitation or obligation, any photographs, videos, and/or tape recordings of which may include my image or voice or that of others included on my membership for promotion of the Regional Y, UNLESS I NOTIFY THE REGIONAL Y IN WRITING PRIOR TO PARTICIPATION AT THE Y.

The YMCA conducts regular sex offender screenings on all members, participants, and guests. If a sex offender match occurs, the YMCA reserves the right to cancel membership, end program participation and remove visitation access.

By clicking submit I understand and accept the terms of the Membership Agreement above. I acknowledge that upon my first visit to the Y I must go to the Member Service desk to obtain a membership card, have my photo taken and receive a general orientation.