Name of Guest _______________________________________________________________________________________________________________________________________________Date of Birth ____________________________________

Phone ______________________________________________________________________________________________ Email __________________________________________________________________________________________________________

Address ____________________________________________________________________________________City __________________________________________________ State __________________ Zip___________________________________

Were you referred by a current member? If so, please provide their name ____________________________________________________________________________________________________________________________________

THREE-DAY GUEST PASS VOUCHERTurn this voucher in to the front desk at the Arapahoe or Mapleton Ys in exchange for a three-day guest pass valid Oct 5-20, 2015. Guest must take a tour before receiving guest pass.

YMCA OF BOULDER VALLEY • ymcabv.orgArapahoe Center 2800 Dagny Way • Lafayette, CO 80026 • 303-664-5455 Mapleton Center 2850 Mapleton Avenue • Boulder, CO 80301 • 303-442-2778