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Confidential <br />Mailing Address (if not the same as Physical Address): <br />Mailing Address: <br />Shipping Address (if not the same as Physical Address): <br />Shipping Address: <br />Staffed Hours o O eration <br />Sunday Monday Tuesday Wednesday Thursday Friday Saturday <br />Open <br />Closed <br />Are Members able to access Facility during unstaffed hours? O No O Yes <br />What non - English languages does staff speak fluently? Please list: <br />Please select one category that best describes Facility: <br />O Commercial <br />O Hotel or Resort <br />O JCC <br />O Kroc Center <br />O Medical with physical therapy <br />OMedical without physical therapy <br />O Municipal <br />O Senior living <br />OUS Tennis Association <br />O YMCA <br />O YWCA <br />O Other not - for - profit <br />Please select one location type: <br />O Men and women <br />O Women only <br />O Men only <br />