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Aquatics Update: On Saturday, Sept. 30th, Lap Swim in our Aloupis Pool will be from 7:00am – 9:30am.
The Aloupis Pool will be closed for the rest of the day for the Maine Senior Games Swim Meet.
Family Swim will be available in the Means Pool as scheduled.
THANK YOU for your understanding and helping us support our community!

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Evidence-Based Health Programs Contact Form

Thank you very much for your interest in our Evidence-Based Health and Support programs! Please fill out the form below and we will contact you promptly to help you find the program that best fits your needs!

Name*
First Last
Email*
Phone*
Please provide the best number for us to reach you.
I'm interested in the following programs:*
Check all that apply. If you're not sure, that's totally ok! We'll help you!
- Select All
- Arthritis/Bone Health Support
- Cardiac Phase III & IV Rehab
- Cardiac Disease Prevention
- Diabetes Prevention & Support
- Cancer Care & Support
- Parkinson's Support for Patients & Caregivers
- Alzheimer's Support for Patients & Caregivers
- Neuro Health Support
- Exercise Programs for Older Adults
- I'm not sure! Contact me!
Has your doctor ever told you that you have a heart condition?*
- Yes
- No
- I'm not sure
Do you ever get unexplained pains in your chest at rest or during physical activity?*
- Yes
- No
- I'm not sure
Have you ever suffered a stroke?*
- Yes
- No
- I'm not sure
Do you ever feel so dizzy during physical exercise, that you lose your balance?*
- Yes
- No
- I'm not sure
Have you ever suffered an asthma attack requiring immediate medical attention, at any time over the last 12 months?*
- Yes
- No
- I'm not sure
Has your doctor ever told that you have muscle, bone, or joint problems?*
- Yes
- No
- I'm not sure
Do you have any other condition(s) that may make it dangerous for you to participate in physical activity or exercise?*
- Yes
- No
- I'm not sure
Do you already have a membership to the Bangor Region YMCA?*
Access to more than 75 group fitness classes each week is INCLUDED AT NO EXTRA COST as a part of your Bangor Region YMCA Membership!
- Yes
- No
How did you hear about Evidence-Based Health Support programs at our YMCA?*
Is there anything else you would like to share with us?

Bangor Region YMCA
17 Second Street — Bangor, ME 04401
207-941-2808

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