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Program Registration & Donations

Directions for Online Registration/Donation 
Fill out this form as directed.  Once you get to the end of this form, DO NOT click on "Submit".  First click on the Paypal button.  This will bring you to the Paypal screen where you can pay with credit card, debit card or your personal Paypal account.  Once your Paypal transaction is complete, close that screen and then click on "Submit".

To Register for a Program
Fill out form and indicate the program you would like to
register for and the age level, if necessary. 
Please fill out one form for each child, for each activity.

To Donate Funds
 Fill out form and indicate "Donation" in the
 Program Information Section.


If you do not wish to pay online, you may call our office to pay over the phone or stop by our office.  Program spots are not reserved until the program is paid in full.

You will receive confirmation of online registration
within 24 hours, via email.

First Name:
Last Name:
Child's name & age:
Address Street:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Program Information:

Registration is complete once class is paid for in full through this website or at our office.

Thank you,

YMCA Friends & Volunteers
 
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