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- Click ‘Get Form’ to open the ymca intake in the editor.
- Begin by entering your participant information. Fill in your name, preferred phone number, and email address. Select your preferred contact method by checking either 'Phone' or 'Email'.
- Next, provide your date of birth and gender. For ethnicity and race, select all applicable options from the provided categories.
- Indicate how you learned about the LIVESTRONG® at the YMCA program by checking the relevant boxes.
- Move on to health information. Answer questions regarding past health problems and current medications. Be sure to specify any details if you answered 'Yes' to certain conditions.
- Complete the physical activity section by detailing your exercise frequency, intensity, and any limitations you may have.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2013 | 4.8 Satisfied (286 Votes) |
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