Gym Questionnaire

Check all that apply

          1. Which YMCA Adult programs would you like to see offered?

          Basketball league              Volleyball league             Dodge ball              Tennis                  

          Other_________________________________________________________________

          2. Which YMCA programs would you like to see offered for your children?

          Youth Basketball __      Youth Indoor Soccer__      Youth Volleyball__

          Youth Cheerleading            Home School PE              Youth Tennis      

          Other ___________________________________________________________________

          3. Which YMCA programs would you be willing to volunteer to coach or referee?

          Youth Basketball          Youth Indoor Soccer             Youth Volleyball             

                  Youth Cheerleading           Adult Basketball              Adult Volleyball       

          Other                                                                                                                                                      

          If interested in officiating or coaching an Adult or Youth Sport, please leave your contact       information below.

          Please indicate which sport you would like to coach or officiate.

          Youth Basketball              Youth Soccer               Youth Cheerleading       

          Adult Basketball           Adult Volleyball               Scorekeeper        

          Other                                                                                                                                                       

           ____________________              _______________        _____Coach  ____Referee