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Membership Application
YMCA of the Rockies Membership Application
STEP 1: Member Information
Member Number (if available)
First Name
Last Name
Date of Birth
Month
Day
Year
Street Address
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ZIP Code
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Email
Do you have a spouse/partner living in your household?
Yes
No
All ADULTS (18 years and older) must be screened through the National Sex Offender Registry.
Spouse/Partner First Name
Spouse/Partner Last Name
Spouse/Partner Date of Birth
Month
Day
Year
Do you have an additional ADULT who is 18 or older AND lives in YOUR household?
Yes
No
All ADULTS (18 years and older) must be screened through the National Sex Offender Registry.
Additional Adult First Name
Additional Adult Last Name
Your Relationship to Additional Adult
Additional Adult Date of Birth
Month
Day
Year
Additional Adult Last Name
Additional Adult First Name
Your Relationship to Additional Adult
Additional Adult Date of Birth
Month
Day
Year
Please check here if you use the Nordic Center at Snow Mountain Ranch
Yes, I use the Nordic Center
I would like to receive my Membership Card by:
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Postal Mail Only
Email and Postal Mail
What is your primary reason for becoming a member?
Priority booking
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Nordic Center
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Snow Mountain Ranch
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