1-Day Guest Pass

Please fill out this form and pay the $10 to use the Gallatin Valley YMCA's facilities! This pass is only valid for one-day of use. If you are interested in joining our YMCA as a facility member with unlimited visits and group fitness classes you can sign-up as a member here.  If you have any questions please reach out to our membership team at membership@gallatinvalleyymca.org

First Name
Last Name
Phone Number
Email
I was referred by:
I plan on attending a group fitness class
 Yes
 No
Date of Class
Which class are you attending?

PARTICIPATION WAIVER

I understand that there are certain risks associated with participation, such as leg, eye, musculoskeletal and head injuries.

I represent that I am physically able to participate. I agree to assume all risks associated with participation in the YMCA programs.

I hereby assume all financial responsibility for any injuries or illnesses that might be sustained while participating in the YMCA programs.

I authorize my picture to be used for marketing purposes for the Gallatin Valley YMCA.

In the event that I should become injured or ill while participating in YMCA activities, I hereby authorize the staff to act on my behalf and consent to any necessary medical examination, emergency service, diagnosis, treatment under the supervision of any licensed physician or dentist. I understand that the YMCA provides no medical or accident insurance for treatment or injury.

By checking this box, you agree to our waiver

COVID-19 WAIVER

By checking this box, you are stating that you have read and agree to our COVID-19 Waiver

I plan on visiting the Gallatin Valley YMCA and using the facility

Credit Card Type
Name on Card
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Expiration