Affiliation Form

Chapter Affiliation Process

Follow the three steps below to become an Affiliated Student Y Chapter for the 2016-2017 school year. All chapters, new and existing, must affiliate every fall:

1. Affiliation Form
Please fill out the Affiliation Form below to affiliate your school as a Student Y. This form must be completed at the beginning of each year to remain affiliated:

2016-2017 Student Y Affiliation Form (Click Here)

2. Chapter Roster
Fill out and submit your Chapter Roster by emailing it to Olivia Sharp at You can use the Excel template below:

Student Y Chapter Roster Template (Click Here)

Students may end up joining your chapter after you have completed the affiliation process (we love when chapters grow!). To affiliate these students, you can submit their info using the same roster template, and mail-in the $10 per student as you did for your original affiliation.

3. Affiliation Fee
Mail your Student Y Affiliation Fee ($10 per affiliated student) to the Kentucky YMCA at the address listed below:

Kentucky YMCA Youth Association
91 C. Michael Davenport Blvd.
Frankfort, KY 40601