Annual Affiliate Membership Form

An Affiliate Membership simply provides access to our facility. Additional fees are required to enjoy YWCA Greenwich activities.

New Membership
Prices include a $3.00 processing fee.
Annual Affiliate Membership

MEMBER INFORMATION

 
 
Regular physical activity is fun and healthy and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, you should check with your doctor before you begin any new physical activity routine.

Common sense is your best guide when answering these questions. For all members of your Membership, please read the questions carefully and answer each one honestly by checking YES or NO.
 
 
 
 
 
 
 
 

INFORMED CONSENT AGREEMENT (15 and under)

Signature
Discount for both Friday and Saturday class during the same session By digitially signing this document, I acknowledge that I have voluntarily chosen to participate in a program of physical activities at YWCA Greenwich. I understand that exercise may be strenuous in nature and that, though uncommon, there is potential for adverse physiological responses including, but not limited to, abnormal blood pressure, fainting, heart attack, or even death. By signing this document, I assume all risks for my health and well being and hold harmless of any responsibility the instructor, facility, and/or any person involved with the program. My presence at YWCA constitutes permission for YWCA Greenwich to use a photograph of me or my child taken on the premises for public relations or promotional purposes.
Credit Card Information
 
Billing Name and Address