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YMCA Uplift Registration Form

YMCA Uplift

1. Are you completing this registration yourself, or are you registering someone else for Uplift? *This question is required.
Participant details
This question requires a valid number format.
Please list parent/guardian contact details
7. Which Uplift location are you registering for?
8. How did you find out about Uplift? *This question is required.
Please note that because you (or the person you are registering) is under 16 they will need a parent or guardian to sign them in for their first session.
How would you rate your current mental health? *This question is required.
How would you rate your current physical fitness? *This question is required.