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We are excited that you've chosen to join the YMCA of Greater Tulsa. After completing this easy online form, you will be directed to a page that provides a temporary pass that you can print and use to enjoy the services of any YMCA of Greater Tulsa location. When your official membership card is ready, you may pick it up at the YMCA location you designate under "Registration Location." We look forward to seeing you.

You can also click here to download an application form that you can print, fill out and bring to your neighborhood YMCA.

(* indicates required field)

Title:	Please select one Mr. Ms. Mrs. Miss Dr.
*First Name:	Middle Initial:    *Last Name:
*Address:
*City:	*State:   ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY   *ZIP:
*Phone:	*Email Address:
*Gender:	Choose One Male Female *Birthdate:   MonthJanFebMarAprMayJunJulAugSepOctNovDec  /  Day12345678910111213141516171819202122232425262728293031  /  Year20122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912
Would you like to volunteer?   Yes No

*Employment Status: Employed    Unemployed    Retired   

*Name:
*Phone:

*Marital Status: Single    Married    Divorced    Widowed   


Choose a location that you would like to register as your "home location." This is where you will pick up your membership card. Please note that regardless of registration location you can visit and participate in activities at any YMCA of Greater Tulsa. To find the location nearest to you, click here.

*Location:   Select a Registration LocationDowntownSouth NeighborhoodW.L. Hutcherson FamilyThornton FamilyOwasso FamilyR.C. Dickenson FamilyWestsideCamp TakatokaDaily Family



By checking this box, I agree that I have read, understood and agreed to the terms as outlined above.

You may choose to pay either through your bank account or a credit or debit card. You only need to select one of the payment options below.

Payment Type:   Checking    Savings    Credit Card

Ethnic Origin: Please select one African American Native American Hispanic Asian Caucasian Other

Household Income: Please select one Under 10,000 10,000 - 19,999 20,000 - 29,999 30,000 - 39,999 40,000 - 49,999 50,000 - 59,999 60,000 - 69,999 70,000 - 79,999 80,000 - 89,999 90,000 - 99,999 100,000+

Your personal and financial information is safe with us. We are dedicated to keeping the information you submit to us secure and private. We offer you the advantage of placing your application request online using secure servers and encryption. Your credit card information and personal information are encrypted and secured through a link to our commerce server. After clicking "submit," you will be linked from our web pages to customized screens on our secure server. Your information is encrypted during its trip across the Internet to prohibit viewing by a third party.

©2012 YMCA OF GREATER TULSA   ALL RIGHTS RESERVED