NameEmailPhone Birthdate: Home YMCA Facility: Requested Date of Reactivation: Your reactivation request will be processed within 24 hours. If you want to reactivate at a future date, please visit your local center or wait to submit this form. Why have you decided to reactivate your Y membership?--None--Feels safer nowPool is openFinancial position improved Any other information we should know? I understand the date I selected is the date membership fees will begin to accrue and will be charged to my account*