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New Member Registration

Y_ Registration Form (word)

Online Registration below coming soon (Currently Inactive)

Father's First name

Father's Last name
Street address
City
State
Zip
Home Phone
Work Phone
E-mail
Work Fax
Tribe (If Known)  
Child's Name Child's Age

Subdivision/Area

School Attended

I am interested in  Guides (Father/Son)  Princesses (Father/Daughter)

Please send a check to the YMCA of Greater Durham:
Non Member YMCA - $60 per Teepee (Father and Child) $20 for Second Child
Member YMCA - $45 per Teepee (Father and Child) $20 for Second Child