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PRE-DIABETES PROGRAM ELIGIBILITY

Diabetes Prevention Program Eligibility Screening

By filling out this form, you are agreeing to be screened for pre-diabetes. Filling out this form does NOT enroll you in the program. If you qualify, you will be contacted before our next session begins. 

Gender
Are you a current YMCA Member
Do you have an immediate famly member who has been diagnosed with diabetes?
Have you ever been diagnosed with high blood pressure?
Are you physicaly active?
Previous Gestational Diabetes

Thank you! We will review your responses and contact you if you are elligible.!

FACILITY HOURS

REGULAR HOURS

(LABOR DAY TO MEMORIAL DAY)

M-F: 5AM-11PM

SAT: 6AM-9PM

SUN: 6AM-9PM

SUMMER HOURS

(MEMORIAL DAY TO LABOR DAY)

M-F: 5AM-11PM

SAT: 6AM-7PM

SUN: 6AM-7PM

CONNECT

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2025 HOLIDAY HOURS

NEW YEARS DAY - JAN 1 

EASTER - APR 20

MEMORIAL DAY - MAY 26

INDEPENDENCE DAY - JUL 4

LABOR DAY - SEP 1

10AM - 4PM

CLOSED

7AM -12PM

CLOSED

7AM -12PM

THANKSGIVING - NOV 27

CHRISTMAS EVE - DEC 24

CHRISTMAS DAY - DEC 25

NEW YEARS EVE - DEC 31

NEW YEARS DAY - JAN 1

CLOSED

7AM-12PM

CLOSED

5AM-6PM

10AM-4PM

MINOT FAMILY YMCA     |     701-852-0141     |     3515 16TH ST SW     |     MINOT, ND 58701

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