Guest Pass Form printable pdf download

GUEST PASS

WELCOME to the YMCA OF GREATER GRAND RAPIDS!

We hope your visit with us as a guest is an enjoyable one. Before you utilize our facility, we ask that you read our guest guidelines

below and sign the waiver statement on the back of this form.

• A YMCA member needs to accompany you during your visit at the Y; one guest per member per visit.

• All youth 10 years and younger will be accompanied by an adult Y member during their visit.

• If you are 18 years and older, show your government-issued ID (ie, driver’s license) and carry this ID with you at all times.

• Guests under the age of 18 will provide a waiver signed by their parent/guardian and this will be verified by a Y staff member.

• Guests will have their photos taken during check-in processing.

• For safety and security reasons we ask that you do not leave and re-enter the facility.

• As a guest, you agree to follow our YMCA Code of Conduct, which is available at the Member Service Desk.

• Each of our YMCA facilities may determine if there are any restrictions to using the Y during peak hours.

Guest Pass Usage:

• Adults are welcome to be a guest of the YMCA for six times during the calendar year.

• Youth under age 18 may come with a YMCA member an unlimited number of times.

• Each time you visit, you will be required to pay a guest fee.

Guest Pass Fees:

• $20 per family

• $10 per adult

• $5 per child ages 11-17

• $3 per child ages 10 and under

*Out-of town passes may be purchased. Please inquire at the Membership Desk.

GUEST INFORMATION

Guest Name ___________________________________________________________________________________________ Gender ___________________ Date of Birth__________________

Address ______________________________________________________________________________ City________________________________________ St _______ Zip _____________________

Guest Phone __________________________________________________________________ Guest Email _________________________________________________________________________

Emergency Contact/Phone __________________________________________________________________________________________________________________________________________

Member Name ________________________________________________________________ Member Phone ____________________________________________________________________

Guest Family Members:

Guest Name ___________________________________________________________________________________________ Gender _____________ Date of Birth ___________________________________

TURN OVER TO COMPLETE THE WAIVER OF LIABILITY

YMCA STAFF USE

Member # ____________________________________________________________

Date

Verified Photo ID

Guest # _______________________________________________________________

Guest Photo Taken

Waiver Signed

Staff Name __________________________________________________________

YMCA OF GREATER GRAND RAPIDS | 475 Lake Michigan Drive NW, Grand Rapids, MI 49504 | 616.855.9622 |

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