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GRENVILLE YMCA Page 1 of 2SNOW DEREGISTRATION FORM (20172018)Date / / Program Rates & Timescales Information Member: $40/day Nonmember: $60/day (7AM 6PM)First Name Last Name DOB / / MaleFemaleEmergency
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Obtain a membership form from the Glenville YMCA.
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Fill out the personal information section, including your name, address, and contact details.
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Indicate your preferred membership type (individual, family, student, etc.) and select any additional program or service options you wish to enroll in.
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Sign and date the form to certify your agreement with the membership terms and conditions.
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Submit the filled-out form along with any required documentation (such as proof of residency or student ID) to the Glenville YMCA front desk.
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Pay any applicable membership fees or deposits.

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Anyone who is interested in physical fitness, health, and wellness can benefit from the amenities and programs offered at the Glenville YMCA.
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