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PRIMARY MEMBER (Parent or guardian for applicants under 18 years of age)
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Have you been a YMCA Member before?
Are you interested in Volunteering?
SECONDARY ADULT
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DEPENDENTS & APPLICANTS (18 YEARS OF AGE AND UNDER AS WELL AS COLLEGE STUDENTS 25 YEARS AND UNDER WITH 12 CREDITS) Add

I want to help underprivileged youth and families in my community participate in Y programs. I authorize the Y to add the following amount to my monthly bank draft to support the YMCA Annual Campaign:

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