Share Your YMCA Story

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* 1. First Name:

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* 2. Last Name:

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* 3. Date of Birth (mo/day/year):

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* 4. Email Address:

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* 5. Phone Number:

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* 6. Are you currently a Lincoln YMCA Member?

Yes

No

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* 7. If yes, what Lincoln YMCA location do you frequent the most?

Cooper

Copple Family

Downtown

Fallbrook

Northeast

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* 8. Please share your Y story with us!