Keeping Our Community Together

COVID-19 Membership Form

Found below the barcode on your membership card.
Your monthly membership draft is crucial in enabling us to pivot our efforts to providing community response and cover general operating expenses. We are working to provide emergency care for children of medical personnel and first responders, so that they can continue their focus on public health. We are delivering nutritionally balanced meals to homebound seniors, providing thousands of grab-n-go meals daily (breakfast and lunch), for children throughout the Los Angeles region. We are partnering to provide canned and dry goods to the food insecure and we are working with the Red Cross to set-up stations for individuals to donate blood.
Accept my monthly membership as a tax-deductible donation to provide these services. I understand my membership will remain active and normal drafts will continue and be considered donations until the Y reopens, and my membership continues as before. I understand I can choose to place my membership on hold at a later date.
Place my membership on hold for free. I do not want to be charged until the facility is reopened. I understand that my membership will restart automatically when the Y reopens and I will pay no Joining Fee.
I would like to receive a tax donation receipt.

 
I would like to make an additional gift to the Y's COVID-19 Response Fund.