I want to enroll in the YMCA diabetes prevention program.

If you are interested in the program and would like to be contacted by the Y to learn more and get started, please enter your name and email address here:

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* 1. Please tell us your First Name:

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* 2. What is your last name?

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* 3. At what email address would you like to be contacted?

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* 4. At what phone number would you like to be contacted?

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* 5. Sign up for the Y diabetes prevention program at:

https://muskegonymca.org/ydpp/

Contact Phone: 855-278-6836

Contact Email: ydpp@muskegonymca.org