Salina Tour Request

Salina Family YMCA Tour Request

Ready for a visit? Please fill out the form below!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select a tour date that works best for you.*

MonthDayYear
Date
Please select a tour time that works best for you.*

Hour Minutes

AM/PM Option
What is the best way to contact you?*
Preferred language for your tour?*
How did you hear about us? (select all that apply)*

Just driving byFacebookInstagramTwitterYMCA WebsiteFriendYMCA StaffEmployerNewspaperOther
What type of membership are you interested in?*

Youth (0-9)Student (10-18)Young Adult (19-26)Adult (27+)Couple (2 in a household)Family
What are you interested in? (select all that apply)*

Aerobics - Group Exercise ClassesAdult SportsAquaticsBoard or Committee MemberChildcareCoachingCorporate DiscountDrop-In SportsEmploymentFamily RecreationFundraisingGymnasticsHealth ProgramsLifeguard TrainingMartial ArtsMaster SwimParent/Child ProgramsPersonal TrainingSenior ProgramsSpinning/CyclingStrength TrainingSwim LessonsSummer CampsSocial ActivitiesTeen ActivitiesYouth SportsVolunteerismOther
Should be Empty:

Salina Family YMCA Tour Request