Community Partner Membership Request Form

Your Membership Matters.

The Y is eager to be a partner in your journey of health.  Join today for no cost, and receive a 12 month membership to our YMCAs for you and your family.

When you join the Y, you are not only joining the gym. You are joining an international community of people dedicated to healthy living, youth development, and social responsibility. The Y is a place where your membership makes a difference and supports the health and wellness of others. Every day we give back to our community. Our impact is felt when an individual makes a healthy choice, when a mentor inspires a child, or when neighbors come together for the common good. The YMCA of Metro North is for everyone — at every age, stage, and ability.

When you join the Y you belong to a place where:

  • Families come together to have fun and spend quality time with each other.
  • Individuals discover personal strength through exercise and healthy living.
  • Parents find a positive environment for children to learn good values, social skills, and behaviors.
  • Children and teens play, learn who they are and what they can achieve, and are accepted.
  • Adults connect with friends and pursue their interests.
  • Communities thrive because neighbors support each other and give back.
  • We all build relationships that further our sense of belonging and purpose.

Complete the form below to request your YMCA Membership.

ReNew at the Y Membership Application

Online submission for a free 12 month Y Membership.




















  • Date Format: MM slash DD slash YYYY

  • Please select one.






  • Please let us know who will be on your membership.

  • Date Format: MM slash DD slash YYYY

    Family membership can include children in your immediate household under the age of 26.






  • Please let us know who will be on your membership.

  • Date Format: MM slash DD slash YYYY

    Family membership can include children in your immediate household under the age of 26.






  • Please let us know who will be on your membership.

  • Date Format: MM slash DD slash YYYY

    Family membership can include children in your immediate household under the age of 26.
  • Please let us know how you were referred to us.