YMCA Branch Name

For Youth Development
For Healthy Living
For Social Development
Income Based

Income Based Membership

Thank you for inquiring about our Membership Assistance Program. This program is designed to assist you in obtaining a membership to our YMCA. It is made available to you and others through the generous donations from members and supporters of our YMCA’s Annual Strong Kids Campaign.

People who participate in the YMCA Membership Assistance Program include:

-Youth referred by schools, churches and organizations

- Adults who are temporarily out of work

- Individuals who are experiencing financial hardships

- People on fixed incomes

- People who are overwhelmed by medical bills

How to Apply for Membership Assistance

The Kearney Family YMCA provides membership assistance based on:

-Income

-Size of family and/or

-Special circumstances (excessive medical expenses, unemployment, etc.)

The following information is needed to process your application:

(All membership assistance forms will be kept confidential)

-Completed Y Membership Assistance Application

-Completed Y Membership Assistance Worksheet

And one or more of the following:

-Copy of last year’s Federal Tax Return

-Copy of last two pay stubs

-Copy of Unemployment Benefits Pay Form

-A letter from employer stating wages

If you do not have a copy of your tax return, you may obtain one by calling the IRS at (800) 829-1040. If you did not file taxes last year, or if you do not have the other documents required, please write a detailed letter explaining you circumstances.

Upon determination of your membership rate you will be asked to make payment through one of two methods: monthly by automatic withdrawal (bank draft) from your personal checking or savings account, or you may pay for your membership annually through cash, check or credit card.

Membership Assistance Renewal

Individuals receiving membership assistance must reapply annually or upon request. (If you are unemployed, you may reapply quarterly.) A Membership Assistance Worksheet, along with current documentation will need to be submitted. Your fees are subject to change when you reapply.

Confidential Application for Income Based Membership (pdf)

The Y is committed to providing programs that build a healthy spirit, mind and body for all. We make every effort to ensure that no one is turned away due to inability to pay. Click to read more about our financial assistance.