2025-2026 7GM Application

STUDENT INFORMATION

Student Name*

First NameLast Name

Student Date of Birth*

MonthDayYear

Student Personal Email (Do not include school email address)*

example@example.com

Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Gender*

FemaleMaleOther

School Name*

Current Grade*

For 2025-26 School Year

Which Summit Area YMCA location will you call 'home'?*

Student Ethnic Origin*

Please note: Y-USA requests the above information from YMCA participants throughout the nation for program funding and demographic purposes.

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name*

First NameLast Name

Relationship to Student*

Parent/Guardian Date of Birth*

MonthDayYear

Parent/Guardian Phone Number*

Parent/Guardian Email*

example@example.com

Address (If different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

EMERGENCY CONTACT INFORMATION

Do you want to provide Emergency Contact information for the student that is different from the Parent/Guardian information provided above?*

Name

First NameLast Name

Relationship to Student

Phone Number

Address (If different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

7th Grade YMCA Membership Process:

Step 1: Mandatory Orientation (Parents & Students)
View the mandatory orientation to learn about YMCA policies, benefits, fitness demonstrations, and more.

Step 2: In-Person Demos
You must schedule three in-person demos, each lasting about one hour. These sessions, held at either the Berkeley Heights YMCA or Summit YMCA, will cover safety, proper technique, the Code of Conduct, and fitness demonstrations. Demos must be scheduled in advance, and instructions on how to schedule will be provided after the mandatory orientation.

Step 3: Enrolled in Program
Upon completing the orientation and demos, your child will be enrolled in the 7th grade initiative program to the Summit Area YMCA. This program, valid through June 30, 2026, provides access to all available offerings at both the Berkeley Heights YMCA and Summit YMCA.

Step 4: Activate Membership
All students enrolled in the 7th Grade Initiative Program, must complete 2 volunteer events at the YMCA. Monthly volunteer events will be provided to students.

Code of Conduct Agreement*

Waiver & Release of Liability*

Please confirm you are not a robot*

Student Signature*

Parent/Guardian Signature*

Date*

Date

7th Grade Initiative Application

7th Grade YMCA Membership Process: