Contact Information Please provide the following information so that we can contact you. All fields are required. First Name Last Name Phone Number Email Address . Home Branch Please indicate your home branch. If you don't know or not a member, select "Don't Know/Not Member." Remember, YMCA members have access to all Y locations in Greater Seattle. This field is optional. Home Branch Select a home branchAuburn Valley YMCABellevue Family YMCACoal Creek Family YMCADale Turner Family YMCADowntown Seattle YMCAKent YMCAMatt Griffin YMCAMeredith Mathews East Madison YMCANorthshore YMCASammamish Community YMCASnoqualmie Valley YMCAUniversity Family YMCAWest Seattle & Fauntleroy YMCAI Don't Know/Not a Member Please tell us where you live. (optional) City State Select a stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming . What are the ages of kids in the household? (required) (select all that apply) 0-2 0-2 2-5 2-5 5-12 5-12 12-15 12-15 15-18 15-18 . How did you hear about Healthy Kids Day? How did you hear about Healthy Kids Day? Please select (required)YMCA EmailYMCA WebsiteYMCA StaffSocial Media (Facebook, Instagram, etc.)ParentMapSeattle’s ChildSearch (Google, Bing, Yahoo, etc)Red TricycleFlyerFriend or FamilyOther Enter other Other .