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AHS Program Guide - YMCA Calgary

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<strong>YMCA</strong> Wellness Service Request Form<strong>YMCA</strong> provides general wellness programs including (but not limited to) yoga, Pilates, Zumba or other aerobic classesand activities. To initiate a new class at an <strong>AHS</strong> <strong>Calgary</strong> Zone site, please ensure your site is able to satisfy the followingcriteria prior to submitting your request:• Commitment for a minimum of one class per week at the site• Commitment and approval from the site manager to request the class• Access to an on-site space for the duration of the class that meets the needs of the specific activity* (room must be booked by a Site Manager, <strong>AHS</strong> Wellness Volunteer or <strong>AHS</strong> personnel for the duration of the classes)*Request Process:1. Submit Wellness Service Request Form to the <strong>YMCA</strong> Workplace Wellness <strong>Program</strong> Coordinator at:calgarywwp@ymcacalgary.org, or call 403.899.0835 for more information.2. <strong>YMCA</strong> reviews and prioritizes requests as they are received.3. <strong>YMCA</strong> will connect with the site contact to execute request within two business days.Submit this form by July 15, 2013 to enable us to include the class in the next program schedule.Class Description: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Class Request Initiated By: _________________________________________________________________________Site Contact Name:Date Required:Department:Site:City | Town:Phone:Email:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Authorized By (Site Manager or Higher): ______________________________________________________________Phone: ___________________________________________________________________________________________Email: ____________________________________________________________________________________________Register: bit.ly/calgarywwp_ymcacalgaryEmail: calgaryWWP@ymcacalgary.org or wellness@albertahealthservices.ca<strong>AHS</strong> Insite: insite.albertahealthservices.ca/5600.asp10

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