EVERYONE IS WELCOME!

Open Door Scholarship Application

At the YMCA, Everyone is Welcome!
We are committed to ensuring that no one is turned away due to their inability to pay. Through our Open Door Program, we offer reduced rates for memberships and programs to help meet that commitment.

Scholarship Details:

Scholarships are awarded for a period of six months.
To renew your scholarship, you must reapply before it expires.
Any outstanding balance must be paid in full before a new scholarship can be awarded.
If you do not reapply, your membership will expire and terminate at the end of the scholarship period.
Monthly rates are not guaranteed at renewal and may be adjusted based on updated financial information.

If you have any questions, please don’t hesitate to ask a staff member — we’re here to help!

Full Name *

Address *

Date Of Birth (MM/DD/YYYY) *

Email *

Phone *

Emergency Contact *

Please fill out each step completely for application to be processed in up to 2-3 weeks.

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What type of Membership are you applying for? *

Please list additional adult & children if applying for a household Family Membership.

Enter Adult #2 Full Name and Date Of Birth (MM/DD/YYYY)

Enter Child #1 Full Name and Date Of Birth (MM/DD/YYYY)

Enter Child #2 Full Name and Date Of Birth (MM/DD/YYYY)

Enter Child #3 Full Name and Date Of Birth (MM/DD/YYYY)

Enter Child #4 Full Name and Date Of Birth (MM/DD/YYYY)

Enter Child #5 Full Name and Date Of Birth (MM/DD/YYYY)

Please select the following that apply to you: *

I filed federal taxes last year

I did not file federal taxes last year

Income *

Please upload all household supporting income documents, tax forms, 30 days of income, etc for individuals 18 years or older listed on the application for approval. *More than one document can be uploaded *

Documentation is required for approval. Missing information may delay the approval process. Application can take up to 2-3 weeks for processing and will be notified via phone, text, or mail.

For example:

Family Membership

Adult 1: documents supporting 30 days of income

Adult 2: documents supporting 30 days of income

Tax document listing both adults.