Alumni Info Form

We want to stay in touch and to celebrate your past and future as a Y-Kid and alum of the KY YMCA. Please fill this form out so we can.

If you have any questions or concerns, please contact our Alumni Coordinator Nicole Hankins

Basic Information

Legal First Name:

Last Name:

Preferred First Name:

If Different Than First Name

Maiden Name:

Lookup Contact Email: If you've received emails from us recently, use that email address here to help look your contact record up so that this form doesn't create a duplicate. If not, plug in your current email.

Please delete any spaces.

Current Email: Where do you want us to reach you?
This might be the same as above, it might not. Sorry for having you enter it twice!

Please remove any spaces at the end.

Cell Phone:

Birthdate:

Gender (identified):

Self-Explained Gender

Check this link for more information on Gender Pronouns and Why They Matter

Pronouns

Subject Pronoun

Other Subject Pronoun:

Object Pronoun

Other Object Pronoun:

Possessive Pronoun

Other Possessive Pronoun:

Street Address:

City:

State

Zip Code:

Past YMCA Event Participation

In which, if any, past years have you attended a KYA conference?

Were you a Presiding Officer at KYA?

YesNoIf unsure, select Yes, review the list. If you did not hold one of these positions, change your answer to No.

In which, if any, past years have you attended a KUNA conference?

	Yes	No
Have you previously attended GFI?
Have you previously attended LTC?
Have you previously attended Y-Corps?
Have you previously attended NJC?
Have you previously attended CONA?
Have you previously attended MYA?

9th Grade Team

10th Grade Team

11th Grade Team

12th Grade Team

School History

If you attended more than one middle or high school in the state of Kentucky, please reach out to Y-Staff to log this information.

Schools are based on current schools and YMCA participation groups in KY, if your school was consolidated into another, please feel free to choose that new school or select Other County, Other School.

School names are the official name based on the KDE website, be sure to search for the legal name.

What year did you graduate high school?

In which county did you attend middle school?

What was the name of your middle school?

If you don't see your school, please select Other County, then Other School.

In which county did you attend high school?

What was the name of your high school?

If you don't see your school, please select Other County, then Other School.

Will you be attending college?

Which college will you be attending?

Which will your major be in college?

Please select all options that were applicable to your time in high school.

If we were to brag on you, are there any other awards, accolades, or achievements that we should mention:

Opportunities

What is your favorite Y-Story?

This story may be used by the KY YMCA.

I would like to request more information on The Legacy Society: a collection of young y-alumni (between the ages of 18 and 40) who have committed to sponsor one student through the programming year. With a recurring gift of $15+ a month or a one time gift at $180, we can keep the legacy of the Y open to all.

I would like to request more information on Volunteer Opportunities with the KY YMCA and/or partners.

As you are interested in volunteering, once you submit this form, you will be redirected to the Volunteer Interest Form.

Senior Picnic

If you are available on June 14th, we’d love it if you could join us at Lindsey Wilson College to celebrate you at Senior Picnic.

When: Wednesday, June 14th from 12:30-2

Where: Lindsey Wilson College

Cost: $10 per person

~~~~~whenever this field section is needed again, you'll need to mark the payment information as required~~~~

Seniors if you are attending LTC, and driving someone who is not a Senior, they are welcome to join us but please register them as well.

Payment Information

Please select if you are registering yourself or yourself and another person(s) for the Senior Picnic. Additional people can only be students who are not seniors, other seniors should complete the form.

Total Due:

Credit Card Information

Name on Card

Card Number

Exp. Month

Exp. Year

Code

Billing Email:

Contact Information

	Participated	Did Not Participate
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade

	Participated	Did Not Participate
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade

	Participated	Did Not Participate
GFI 6th Grade
GFI 7th Grade
GFI 8th Grade
GFI 9th Grade
GFI 10th Grade
GFI 11th Grade
GFI 12th Grade

	Participated	Did Not Participate
LTC 6th Grade
LTC 7th Grade
LTC 8th Grade
LTC 9th Grade
LTC 10th Grade
LTC 11th Grade
LTC 12th Grade

	Participated	Did Not Participate
Y-Corps 9th Grade
Y-Corps 10th Grade
Y-Corps 11th Grade
Y-Corps 12th Grade