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Your story—whether it's about you, the people you know, or an entire community—has the potential to motivate others with real-life tales of how the Y not only promises, but also delivers positive change. Through your unique and special voice, the Y can share your story to bring people together to invest in our kids, our health, and our neighbors. The only thing more important than the words you have to say is the untold lives your story touches.
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Full Name |
Email |
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 financial assistance for membership or programs? If so, is that part of your story? |
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.
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Signature |
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Date
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