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White Plains YMCA

Useful Documents

On this page you will find downloadable copies of all applications and forms at our facility, including membership applications, billing update forms and cancellation forms. Completed forms can faxed to our facility at (914) 949-8419, scanned and emailed to our Senior Program Director at or mailed to;

White Plains YMCA
250 Mamaroneck Ave
White Plains NY 10605

For members

Membership/Program Membership Application
Billing Update Form
Membership Freeze Request
Membership Cancellation form
Financial Assistance/Scholarship Application 

For programing (fitness)

Financial Assistance/Scholarship Application 

For Childcare (Infant & childcare, summer Camp)

Financial Assistance/Scholarship Application 
Child Care Information & Pricing
Summer Camp Application

For Residence

Resident Application
White Plains YMCA Residence Info