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Authorization for the Collection, Use, And Disclosure of Personal Information
Changes posted January19, 2024
- I authorize the use and disclosure of my personal information and data as described for the purposes indicated.
- I understand that I have the right to receive a copy of this authorization.
- I understand that I may revoke this authorization at any time by submitting my revocation in writing to the YMCA at the address listed above, except to the extent that action has already been taken in reliance on this authorization.
I hereby authorize the YMCA of Greater Indianapolis (“YMCA”), located at 6610 N. Shadeland Ave Indianapolis, IN 46220, to collect, use, and maintain my personal information (in paper and electronic formats), and to disclose (i.e., share) such personal information to the following entities for the following purposes:
Coordinated Care d/b/a
Managed Health Services
550 N Meridian St #101
Indianapolis, IN 46204
and its affiliates and partners, including the Indiana Family Social Services Administration (collectively, “MHS”)
(Only If Member is an Indiana Medicaid Beneficiary)
To facilitate YMCA membership access to Indiana Medicaid beneficiaries including personal data and information collected in connection with the YMCA’s Program(s), including but not limited to name and YMCA membership information.
Changes posted October 3, 2023
Membership Changes
Facility members that are enrolled in future programs and that cancel their membership or change to a non-member membership are no longer eligible for the facility member program rate. Your program rate will be converted to a non-member rate for any upcoming programs you or your household is currently enrolled in.
Financial Assistance or Discounts Changes
If a facility member or program member has a change in the amount of Financial Assistance or eligible discounts (employee discounts or others) and are enrolled in future programs the upcoming programs rate will change based on the new Financial Assistance granted or change of discount.
Changes posted August 31, 2023
Children age 10 years and under must be supervised by someone age 18 years old or older
Changes posted April 21, 2023
Guests
- A day pass fee that is uniform throughout the Association shall be charged to obtain a guest pass. Guests can purchase an unlimited number of day passes throughout the year. Day passes may be purchased anytime during the Member Services Desk operating hours. Day and guest pass redemption is subject to change based on capacity, such as outdoor pool usage.
- All guests age 18 or older must provide a valid photo ID and sign a waiver. Guests under 18 require an adult signature.
Changes posted April 3, 2023
- The Membership Agreement was initially published on the website on this date.