Y Team Member Giving

First Name

Last Name

Personal Email

Email Domain

Mobile Phone

	Day	Month	Year
Date of Birth

Address Line 1

Address Line 2

City

Country

State

Postal Code

Full Name

Which Family Center or Site do You belong to?:

I would like to

Make a DonationI prefer not to donate but would like to learn about alternative ways to participate in our Culture of Philanthropy.I prefer not to be included in the team member campaign.

One-Time Online Donation

Our philanthropy team will email you at the email address you provided above in the new year. Thank you and we appreciate you as a YMCA team and community member. Please continue and submit below.

Online Donation Amount:

The YMCA of Central Florida is a 501(c)(3) Nonprofit Organization.EIN 59-0624430. As required by the Florida Department of Agriculture & Consumer Services: “A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, AND OR RECOMMENDATION BY THE STATE.” Registration number is #CH1427.

In compliance with Florida Law effective July 1, 2025 (FL SB 700), by clicking yes below, I certify that I am not a citizen, resident, or entity of the People's Republic of China, Russian Federation, Islamic Republic of Iran, Democratic People's Republic of Korea, Republic of Cuba, Venezuelan regime of Nicolas Maduro, or Syrian Arab Republic, nor am I affiliated nor acting on behalf of or controlled by any such government, entity, or individual. I further certify that this donation is not made on behalf of any foreign source of concern as defined by Florida law.