Name:

 
What's the best number to reach you at?

 
What programs have you been involved with?

 
How has the Y made a positive influence in your life? Include details such as personal goals, challenges, obstacles overcome, motivating factors, etc.*

 
Have you ever received any Y financial assistance for membership or programs? If so, is that part of your story?

 
We would like your permission to share your story. Please review the selections below.


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