Copy of YWCA Pool Survey

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1. I am interested in...a(an):

I am interested in...a(an): Family Membership

Adding swimming to my Global Fitness or Jen's Fitness membership

Pay Per Visit Membership

Individual Membership

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2. I'll use the pool for (check all that apply):

I'll use the pool for (check all that apply): Open Swim

Physical Therapy

Private Parties

Swim Lessons

Water Exercise Classes

Lap Swim

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3. I usually swim

I usually swim 1-2 times per week

3 or more times per week

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4. I want to be contacted

I want to be contacted Send me information about YWCA Warren programs.

Let me know when the YWCA Warren pool opens.

Add my contact information to your mail list.

5. I am a member at

I am a member at Global Fitness - Warren

Other fitness facility

Jen's Fitness - Howland

Other (please specify)

6. I am not interested in swimming:

I am not interested in swimming: Check here

7. I am also interested in (check all that apply):

I am also interested in (check all that apply): Other YWCA Warren Programs

Mentoring Programs in my School District

Before and After School Child Care - Warren City Schools

Young Women's Leadership Board (age 15-30)

YW-Teens - Warren City Schools

NYPUM (National Youth Project Using Minibikes)

Summer Camp

Hard Hatted Women

T.E.A.M. Mentoring Program - Warren City Schools

Other (please specify)

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8. Please enter your contact information.

Please enter your contact information. Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

Copy of YWCA Pool Survey - Web
Exit this survey

1. Main Page

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1. I am interested in...a(an):

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2. I'll use the pool for (check all that apply):

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3. I usually swim

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4. I want to be contacted

5. I am a member at

6. I am not interested in swimming:

7. I am also interested in (check all that apply):

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8. Please enter your contact information.

Copy of YWCA Pool Survey - WebExit this survey

1. Main Page

*1. I am interested in...a(an):

*2. I'll use the pool for (check all that apply):

*3. I usually swim

*4. I want to be contacted

5. I am a member at

6. I am not interested in swimming:

7. I am also interested in (check all that apply):

*8. Please enter your contact information.

Copy of YWCA Pool Survey - Web
Exit this survey

*
1. I am interested in...a(an):

*
2. I'll use the pool for (check all that apply):

*
3. I usually swim

*
4. I want to be contacted

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8. Please enter your contact information.