Y Stories

Share Your Story

We are always seeking member stories that help us show how the YMCA of Northern Rock County makes a positive impact on individuals and families in our community. Share your story below and inspire others.

Please be sure to include your contact information, in case we need to get in touch with you for photos or additional information.

Full Name

Primary Daytime Phone

When did you become involved with the Y?

In which Y program(s) have you been involved?

How has the Y made a positive influence in your life? Include details such as personal goals, challenges, obstacles overcome, motivating factors, etc.

Please name any Y staff members that were part of your story and tell us how they helped you.

Have you ever received any Y financial assistance for membership or programs? If so, is that part of your story?

In appreciation for your story, we would like to send you a gift. Please indicate preferred size for apparel.

We would like your permission to share your story. Please check all boxes that apply.

You may contact me via email/phone for more information. You may use my story for promotional purposes. You may use a photo or video of me that I provide or that is taken by the Y. You may contact me about the possibility of doing interviews with the media.

Signature

Date

Share Your Story

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