Spring 2026 Diabetes Fit Expression of Interest Form

Diabetes Fit Spring 2026

Expression of Interest Form
Please complete this form to express your interest in participating in the YMCA of Three Rivers' Diabetes Fit program. This spring we will be offering in-person sessions at our Kitchener, Waterloo, Stratford and Guelph locations.

Diabetes Fit will be also be available in the Fall of 2026 in person (Guelph, Kitchener, Cambridge, Stratford, Waterloo) and online (hosted by Zoom).
To be eligible for Diabetes Fit, one of the following criteria must be met:

1) You have a diagnosis of Type 2 Diabetes

2) You have a diagnosis of Prediabetes

3) You are at moderate-high risk for type 2 diabetes on the CANRISK calculator. Take the test: https://www.healthycanadians.gc.ca/en/canrisk
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please indicate which program you are interested in attending*

Stork YMCA (Waterloo): Wednesdays 2:00-3:30 pm April 1 - June 24, 2026A.R.Kaufman YMCA (Kitchener): Wednesdays 6:30-8:00 pm April 1 - June 24, 2026Stratford YMCA: Wednesdays 1:15-2:45 pm April 1 - June 24, 2026Guelph YMCA: Tuesdays 10:30-12:00 pm March 31 - June 23, 2026I'm interested in attending a virtual program in the fall.I'm interested in attending an in-person program in the fall.
If your program of choice is full, please indicate your second program of choice*

Stork YMCA (Waterloo): Wednesdays 2:00-3:30 pm April 1 - June 24, 2026A.R.Kaufman YMCA (Kitchener): Wednesdays 6:30-8:00 pm April 1 - June 24, 2026Stratford YMCA: Wednesdays 1:15-2:45 pm April 1 - June 24, 2026Guelph YMCA: Tuesdays 10:30-12:00 pm March 31 - June 23, 2026No other program will work with my schedule
How did you hear about Diabetes Fit*

YMCA WebsiteFacebookAt the YMCAFriend/Family MemberPostcard in the mailOther
Should be Empty:

Diabetes Fit Spring 2026