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Your name:

Email address:

I am a resident of:
Naugatuck
Connecticut, outside of Naugatuck
Another State
Outside the USA

I am:
a Naugatuck YMCA Member
a member of another YMCA
a frequent visitor to the Naugatuck YMCA
an infrequent visitor to the Naugatuck YMCA
not a member of or a visitor to the Naugatuck YMCA

I am a:
Male
Female

      Age, years
      Less than 13
      13 - 19
      20 - 39
      40 - 59
      60+

I would be interested in:
Becoming a member of the Naugatuck YMCA
Volunteering at the Naugatuck YMCA
Finding out more about the activites of the YMCA

What programs would you like to see at the Naugatuck YMCA that we don't currently offer?

Any other comments (on the Naugatuck YMCA or the web site)?

 


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