YMCA Branch Name

For Youth Development
For Healthy Living
For Social Development
Membership Terms and Conditions:

I understand that this authorization remains in effect until the Kearney Family YMCA receives 30 days written cancellation notice prior to my bank draft date. Further, I hereby grant full permission to any and all of the foregoing to use, re-use, publish, and republish the same, in whole or part, individually, or in conjunction with other photographs, in any medium and for any purpose whatsoever, including (but by no way of limitation) illustration, promotion advertising and trade, television and multimedia and to use my name in conjunction therewith if the YMCA chooses of my participating in any and all YMCA activities and/or events for any publicity and/or promotional purposes without obligation or liability to me. I declare, for any minor(s) and I that I/he/she/we is/are physically able to participate in the activities of the Kearney Family YMCA. I have received the Kearney Family YMCA membership handbook and agree to adhere to all policies set by the YMCA as written.

The Kearney Family YMCA has the right to terminate my membership privileges anytime if: it appears that I am taking actions or doing things that are contrary to the YMCA’s mission, or it appears that I am involved in criminal acts or I am acting in ways that disrupt the YMCA’s operations. In consideration of gaining membership or being allowed to participate in the activities and programs of the YMCA and to use its facilities, equipment, and machinery in addition to the payment of any fee or charge,

I do hereby waive, release, and forever discharge the YMCA and its officers, agents, employees, representatives, executors, volunteers, and all others from any and all responsibilities or liability for any injuries or damages resulting from my or my family’s participation in any activities at said facility. I do also hereby release all of those mentioned and any others acting upon their behalf from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others, acting on their behalf or in any way arising out of or connected with my participation in any activities of the YMCA or the use of any equipment of the YMCA.

I understand that a membership category may change due to age or school enrollment status and that this change may affect the membership rate. Membership cards remain the property of the Kearney Family YMCA and must be surrendered upon request. I understand that cards are non-transferable and that loaning this card may subject the owner to loss of privileges.

I understand that it is my responsibility to notify the Kearney Family YMCA in writing should I change my financial institution and or account at any time. Should my membership deduction not be honored by my bank for any reason, I realize that I am still responsible for the payment in addition to a service change of no more than $25 applied by the Kearney Family YMCA. This is in addition to any service fee my bank may make. The Kearney Family YMCA board may, at their discretion, adjust the monthly rate applicable to my membership category once per year. I understand that I will receive at least 30 days written notice prior to any such change in my membership fees. I understand that if I wish to terminate or change my membership in any way, I must give the Kearney Family YMCA 30 day written notice prior to my bank draft date—telephone cancellations cannot be accepted. Memberships cancelled for more than 30 days will be subject to paying the join fee upon reinstating. I understand that this is a continuous membership plan and it will remain in effect until I terminate the agreement.
First name:         Last name:  
 Yes, I agree to the terms and conditions. I would like to proceed with my membership.
 No, I do not agree with the terms and conditions. I do not wish to set up a membership at this time.
 Check here to agree and continue.

The Y is committed to providing programs that build a healthy spirit, mind and body for all. We make every effort to ensure that no one is turned away due to inability to pay. Click to read more about our financial assistance.