Sign Up! | YMCA Leadership

Which Program are you signing up for? *

  BOLD (Boys)
  GOLD (Girls)
  COED

BOLD Program Name

GOLD Program Name

COED Program Name

Program/Expedition Dates *

Applicant's Legal Name *

Applicant's Preferred Name

Applicant's Birth Date *

Parent/Guardian's Name *

Home Address *

City *

State *

Zip Code *

Mailing Address (if different from above)

Mailing Address City

Mailing Address State

Mailing Address Zip Code

Applicant's Email

Parent/Guardian's Email *

Retype Parent/Guardian's Email *

Home Phone

Parent/Guardian's Cell Phone

Parent/Guardian's Business Phone

Applicant's School

Applicant's Current Grade

Payment Information

A deposit of $100 per course per student is required to complete the application. We will contact you within 1-2 business days about the course you are interested in and collect a payment. Options include: Visa, MasterCard, Discover Card, American Express and check.
For your convenience, your balance can be charged to your credit card in equal monthly payments with final payment prior to course start

Mail deposit checks to:
MetroCenter YMCA
Attn: BOLD/GOLD
Admissions
909 Fourth Ave
Seattle, WA 98104

Which price tier is appropriate for your family? *

  Actual cost
  80% of actual cost
  60% of actual cost

Will you be applying for financial aid? *

no
yes

How did you hear about us? *

  I've done a GOLD or BOLD program before
  Email from GOLD or BOLD
  Postcard from GOLD or BOLD
  A friend
  School counselor or teacher
  The internet
  A YMCA branch
  Summer Search
  Other