Membership Form

Below are everyday membership forms that you may need! Theses forms are all fillable and you are able to upload them straight to our website and someone will contact you regarding your form. If you have additional questions regarding this or anything else please contact the Welcome Center at 203.754.9622 ext 100!

Membership Application

Want to sign up for membership? Well, fill out the membership application in advance! Review your membership contract. You can submit the membership application in advance via this website. Someone from the membership team will contact you regarding your application!

Update your Billing Information

Did your credit card change, did you lose it, and did you receive a new one? Update it here. You can call the Welcome Center and a staff person will be able to update your billing method. We accept MasterCard, Visa, or your checking account number. You can also update this information here!

Membership Information Update

Use this form to update your membership information, such as: adding email, changing your phone number, or updating your mailing address! If you would like to add or remove someone from your membership, be sure you include their First, Last Name & Date of Birth. Membership Cards will be given at the Y with their picture and photo ID present.

Membership Freeze Request

Put your membership on hold for a maximum of six months. Our monthly draft is on the 15th of every month. If you put your membership on hold on the 14th you will be drafted on the 15th of that month.

Membership Termination

Though we don't want you to leave us, you can terminate your membership here at the Greater Waterbury YMCA. Terminations may not be done via the phone and must be done in writing. Terminations take 30 days to process, and you will be charged for one more month and then you will no longer be charged.

Teen Membership Application

Teen Memberships start at 13 years old up to 18 years old. Teens on teen membership may not use the YMCA facility between the hours 5 PM to 7 PM unless they are here with a parent on a Family Membership. This membership is non-transferrable, non-refundable, and cannot be on hold. Please note that the membership application has the teen rules on the second page of the application.

Upload your completed membership form:

Please allow 3 to 5 business days to process and for a confirmation email from someone from the Membership Team. If you do not receive a confirmation email, call the Welcome Center at 203.754.9622 ext 100.

To fill out these forms: 

  • Download the forms as PDFs to your mobile device or desktop.
  • Click on the Fields and fill out as needed.
  • Save the filled out form.
  • Upload the filled out form to the below button!

Still, have questions? Contact the Membership & Marketing Director Rubi at!