Wellness Coach Request Form - Miami County YMCA
Phone: 765-472-1979
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Miami County YMCA
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Transportation
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Youth Sports
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Our Mission
Donate
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×
Home
Member Login
Membership
Facility Info
Schedules
Departments
Health and Wellness
More For Miami
Transportation
Youth Center
Youth Sports
Careers
Contact
Our Mission
Donate
Staff Resources
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×
Home
Member Login
Membership
Facility Info
Schedules
Departments
Health and Wellness
More For Miami
Transportation
Youth Center
Youth Sports
Careers
Contact
Our Mission
Donate
Staff Resources
Please use the form below to request a Wellness Coaching or Personal Training Session. Wellness Coaching is a free service to Y Members; Personal Training is billed by the hour.
Name*
Phone Number
Best Time for Phone Call
-
Morning
Afternoon
Evening
Email
Repeat Email
Preferred Contact Method*
-
Phone
Email
Please check all that apply:
I need an orientation of the equipment
I would like to have a personalized program designed
I have new goals and need further assistance
I am interested in a one-on-one orientation with a personal trainer (Member Rate - $20/Hr)
Best Days to Meet with a Coach
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Best Times to Meet with a Coach
Morning
Afternoon
Evening
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