Membership Form

Membership Join Form

We are delighted to have you! Complete and submit the form below and a YMCA Membership Services representative will be in touch with you about your new membership or to help you reactivate an existing membership.

Fields marked with a * are compulsory.

Should you need any assistance with your registration, please e-mail customer service.

Name *

First

Last

Contact number

Contact e-mail *

What branch would you like to join? *

What set of programs are you interested in? *

Individual conditioning
Group fitness classes
Swimming Lessons

Financial Assistance

Yes, I would like to apply for Financial Assistance

At the YMCA of Niagara, we believe in creating opportunities that strengthen our community in spirit, mind and body. As a charitable organization, we ensure that everyone in the community has the opportunity to benefit from participation in a YMCA program regardless of their ability to pay.

How did you hear about us? *

Acknowledgement *

Yes, I agree to being contacted by the YMCA of Niagara. I understand that my information is confidential.