LiveSTRONG at the YMCA Interest Form
*Is LiveSTRONG the right program for you?
Program Qualifications. Please select all that apply.
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18 years of age or older
Has a diagnosis of, being treated for, or is a cancer survivor
Cleared to participate in physical activity
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Preferred Branch
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Baxter Close YMCA (Fort Mill)
CSD Community YMCA (Clover)
Gregory Family YMCA (Lancaster)
Indian Land YMCA (Indian Land)
Riverwalk (Rock Hill)
Please select the time frame that works best for you at Baxter Close YMCA:
January 7th - March 27th, 2025 - Tuesdays and Thursdays - 12:00pm - 1:30pm
August 12th - October 30th, 2025 - Tuesdays and Thursdays - 12:00pm - 1:30pm
Please select the time frame that works best for you at CSD Community YMCA:
March 3rd - May 30th, 2025 - Mondays and Wednesdays - 5:30pm-7:00pm
September 8th - December 5th, 2025 - Mondays and Wednesdays - 1:30pm - 3:00pm
Please select the time frame that works best for you at Gregory Family YMCA:
January 7th -March 27th, 2025 - Tuesdays and Thursdays - 1:00pm - 2:30pm
September 9th - December 4th, 2025 - Tuesdays and Thursdays - 1:00pm - 2:30pm
Please select the time frame that works best for you at Indian Land YMCA:
January 14th - April 3rd, 2025 - Tuesdays and Thursdays - 12:00pm - 1:30pm
August 19th - November 6th, 2025 - Tuesdays and Thursdays - 12:00pm - 1:30pm
Please select the time frame that works best for you at Riverwalk YMCA:
February 10th - April 28th, 2025 - Mondays and Wednesdays - 5:30pm-7:00pm
September 3rd - November 19th, 2025 - Mondays and Wednesdays - 5:30pm-7:00pm
How do you believe this program will benefit you?
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How did you hear about this program?
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Please select the option that describes you:
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Ready to register
Need more information
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