EZ Facility Access Request Form

YMCA of Niagara Members, who have reactivated their memberships, require an EZ Facility login in order to book:

Complete the form below to receive your EZ Facility login information and start booking your workouts.

Name *

First

Last

Date of birth *//

Please enter in "Month/Date/Year" format

Contact e-mail *

Contact number (mobile) *

Locations you would like to attend *

Authorization *

I authorize and permit the YMCA of Niagara to utilize my contact e-mail and/or contact number for registering with EZ Facility and for official purposes. I understand my personal information is kept confidential at all times.

Please note: