Payroll Deduct
New Application
How to apply
Reset
Admin
Step 1 of 4 — Membership Selection
1 / 4
Select Your Membership
Branch
— Select Branch —
Anthony Wayne
East
Fort Meigs
Francis
Frank & Shirley Dick Family YMCA
Sylvania
Wayman D Palmer
West
Wolf Creek
Corporate Partner / Employer
— Select Branch First —
Membership Type
— Select Type —
Family
Grandparent
Two Person
Individual
Income Level
— Select Income Level —
Over $100,000
$75,000-$99,999
$50,000-$74,999
Less than $50,000
Rate Breakdown
Base Monthly
—
Discount
—
Discounted Monthly
—
Sales Tax
—
Annual Rate (× 12)
—
Monthly Amount
—
Current Membership Status
*
New Y Member
I am signing up for the Y for the first time
Currently on Payroll Deduct (Renewal)
I am a Y member via payroll deduction and want to renew
Currently on Monthly Automatic Payments
I am a Y member on monthly automatic payments
When would you like to start your membership?
*
I wish to start my membership today and pay one month to the YMCA. My payroll deduction will begin September 1.
I wish to start my membership September 1 through payroll deduction.
Do you need to add or remove people from your current membership?
*
All changes will take place on September 1.
No changes
Yes, I need to add and/or remove people
Add family members, remove people, or both
People to add
(leave blank if none)
+ Add a person
People to remove
(leave blank if none)
+ Add a person
Continue →