My Y Story Entry Form Please complete the questions below. Question Title * First Name: Question Title * Last Name: Question Title * Preferred Email Address: Question Title * I am a YMCA: Member Program Participant Staff Team Member Other Question Title * Categories - Select all categories that your story fits within. Health & Fitness – How the YMCA has helped you live healthier, get in shape or lose weight Swimming – How the YMCA has built your family’s confidence and helped you stay safe in and around water Sports – How YMCA sports programs have built your children’s confidence, helped them develop their talents, or taught them about teamwork and healthy living Theater, Music, Art & Dance – How the YMCA has helped you and/or your children discover and develop their passions through theater, music, art or dance programs Camp – How summer camp at the YMCA has helped your child build confidence, discover new things, make new friends or create lasting memories Childcare/Early Learning – How Y childcare or early learning programs such as preschool, Montessori or kindergarten have made a difference for you and your children. Question Title * Your Story Question Title * I am willing to be featured in a YMCA marketing campaign. Yes No Next