Low Income Family Memberships

As a part of our donor program, we are committed to donating monthly memberships to low income families in our community as we are able.

If you would like to apply to receive a one-month membership at no cost to you, please fill out the form below.

Name

First Name

Last Name

Phone

(###)

###

####

Number of Children

Estimated Annual Household Income

This is the total income for adults living in your household. Proof of income may be required.

Are you a single parent?

Do you need referrals for additional resources, such as housing, financial assistance, food or other needs for your children?

If you answered "Yes" to the above question, please elaborate and we will do our best to assist you with additional resources.