Chapel Hill YMCA
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Contact Form

Please fill out the following form to receive more information on our programs and facilities.

Contact Information: (required fields are marked with *)

*Name: Date:
*City: *State:    *Zip:
*Email: Employer:

1. Which programs would you be most interested in? (check all that apply)

Aerobics/Fitness Classes Martial Arts/Self Defense Pre-school
Community Outreach Flag Football Golf
Massage Personal Training Indoor Soccer
Sauna/Steam Room/Whirlpool Individualized Fitness Programs Wally ball
Running/Biking Nutrition/Weight Management Racquetball
Yoga/Stretch Circuit Training/Weights Volleyball
Summer Camp Family Activities Scuba Diving
Walking Youth Sports Swim Team
Aquacize/Water Exercise School Age Child Care Basketball
Swimming/Swim Lessons Active Older Adult Programs Softball
  Other:

2. What are your fitness/wellness goals? (check all that apply)

Improve Cardiovascular Rehabilitation Increase Strength
Reduce Stress Weight Loss/Gain Improve Flexibility
Spiritual Wellness Other:

3. Would you be interested in volunteering at the YMCA?

Yes No Areas of Interest:

 



  To strengthen the spirit, mind, and body of all people in this community through effective
programs, strong leadership, and healthy practices based on Judeo-Christian values.
CHAPEL HILL-CARRBORO YMCA * 980 MARTIN LUTHER KING, JR. BLVD * CHAPEL HILL, NC 27514
PHONE:(919) 442-9622 * FAX: (919) 942-0256