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<mce:style type="text/css" media="screen"><!  	#mc_embed_signup fieldset {position: relative;} 	#mc_embed_signup legend {position: absolute; top: -1em; left: .2em;} -->

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<mce:style type="text/css" media="screen"><!  	.mc-field-group {overflow:visible;} -->

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<div id="mc_embed_signup"><form id="mc-embedded-subscribe-form" class="validate" style="font: normal 100% Arial, sans-serif; font-size: 10px;" action="http://weymca.us2.list-manage.com/subscribe/post?u=c5ba4c2db126f2c2128afe700&amp;id=2856b8a776" method="post">
<fieldset style="border-radius: 4px; border: 1px solid #ccc; padding-top: 1.5em; margin: .5em 0; background-color: #ffffff; color: #000; text-align: left;"> <legend style="white-space: normal; text-transform: capitalize; font-weight: bold; color: #000; background: #fff; padding: .5em 1em; border: 1px solid #ccc; border-radius: 4px; font-size: 1.2em;"><span>join our mailing list</span></legend>
<div class="indicate-required" style="text-align: right; font-style: italic; overflow: hidden; color: #000; margin: 0 9% 0 0;">* indicates required</div>
<div class="mc-field-group" style="margin: 1.3em 5%; clear: both; overflow: hidden;"><label style="display: block; margin: .3em 0; line-height: 1em; font-weight: bold;" for="mce-EMAIL">Email Address <strong class="note-required">*</strong>
</label>&nbsp;

<input id="mce-EMAIL" class="required email" style="margin-right: 1.5em; padding: .2em .3em; width: 90%; float: left; z-index: 999;" name="EMAIL" type="text" /></div>
<div class="mc-field-group" style="margin: 1.3em 5%; clear: both; overflow: hidden;"><label style="display: block; margin: .3em 0; line-height: 1em; font-weight: bold;" for="mce-FNAME">First Name <strong class="note-required">*</strong>
</label>&nbsp;

<input id="mce-FNAME" class="required" style="margin-right: 1.5em; padding: .2em .3em; width: 90%; float: left; z-index: 999;" name="FNAME" type="text" /></div>
<div class="mc-field-group" style="margin: 1.3em 5%; clear: both; overflow: hidden;"><label style="display: block; margin: .3em 0; line-height: 1em; font-weight: bold;" for="mce-LNAME">Last Name <strong class="note-required">*</strong>
</label>&nbsp;

<input id="mce-LNAME" class="required" style="margin-right: 1.5em; padding: .2em .3em; width: 90%; float: left; z-index: 999;" name="LNAME" type="text" /></div>
<div class="mc-field-group" style="margin: 1.3em 5%; clear: both; overflow: hidden;"><label class="input-group-label" style="display: block; margin: .3em 0; line-height: 1em; font-weight: bold;">Chino Valley YMCA Updates </label>&nbsp;
<div class="input-group" style="padding: .7em .7em .7em 0; font-size: .9em; margin: 0 0 1em 0;">
<ul style="margin: 0; padding: 0;">
	<li style="list-style: none; overflow: hidden; padding: .2em 0; clear: left; display: block; margin: 0;"> <input id="mce-group[5]-5-0" style="margin-right: 2%; padding: .2em .3em; width: auto; float: left; z-index: 999;" name="group[5][1]" type="checkbox" value="1" /><label style="display: block; margin: .4em 0 0 0; line-height: 1em; font-weight: bold; width: auto; float: left; text-align: left !important;" for="mce-group[5]-5-0">Adult Fitness</label></li>
	<li style="list-style: none; overflow: hidden; padding: .2em 0; clear: left; display: block; margin: 0;"> <input id="mce-group[5]-5-1" style="margin-right: 2%; padding: .2em .3em; width: auto; float: left; z-index: 999;" name="group[5][2]" type="checkbox" value="2" /><label style="display: block; margin: .4em 0 0 0; line-height: 1em; font-weight: bold; width: auto; float: left; text-align: left !important;" for="mce-group[5]-5-1">Youth Fitness/Activities</label></li>
	<li style="list-style: none; overflow: hidden; padding: .2em 0; clear: left; display: block; margin: 0;"> <input id="mce-group[5]-5-2" style="margin-right: 2%; padding: .2em .3em; width: auto; float: left; z-index: 999;" name="group[5][4]" type="checkbox" value="4" /><label style="display: block; margin: .4em 0 0 0; line-height: 1em; font-weight: bold; width: auto; float: left; text-align: left !important;" for="mce-group[5]-5-2">Childcare</label></li>
	<li style="list-style: none; overflow: hidden; padding: .2em 0; clear: left; display: block; margin: 0;"> <input id="mce-group[5]-5-3" style="margin-right: 2%; padding: .2em .3em; width: auto; float: left; z-index: 999;" name="group[5][8]" type="checkbox" value="8" /><label style="display: block; margin: .4em 0 0 0; line-height: 1em; font-weight: bold; width: auto; float: left; text-align: left !important;" for="mce-group[5]-5-3">Tiny Tots</label></li>
	<li style="list-style: none; overflow: hidden; padding: .2em 0; clear: left; display: block; margin: 0;"> <input id="mce-group[5]-5-4" style="margin-right: 2%; padding: .2em .3em; width: auto; float: left; z-index: 999;" name="group[5][16]" type="checkbox" value="16" /><label style="display: block; margin: .4em 0 0 0; line-height: 1em; font-weight: bold; width: auto; float: left; text-align: left !important;" for="mce-group[5]-5-4">Aquatics</label></li>
	<li style="list-style: none; overflow: hidden; padding: .2em 0; clear: left; display: block; margin: 0;"> <input id="mce-group[5]-5-5" style="margin-right: 2%; padding: .2em .3em; width: auto; float: left; z-index: 999;" name="group[5][32]" type="checkbox" value="32" /><label style="display: block; margin: .4em 0 0 0; line-height: 1em; font-weight: bold; width: auto; float: left; text-align: left !important;" for="mce-group[5]-5-5">Monthly Y Updates</label></li>
</ul>
</div>
</div>
<div id="mce-responses" style="float: left; top: -1.4em; padding: 0em .5em 0em .5em; overflow: hidden; width: 90%; margin: 0 5%; clear: both;">

&nbsp;

</div>
<div><input id="mc-embedded-subscribe" class="btn" style="clear: both; width: auto; display: block; margin: 1em 0 1em 5%;" name="subscribe" type="submit" value="Subscribe" /></div></fieldset>
<a id="mc_embed_close" class="mc_embed_close" style="display: none;" href="#">Close</a>

</form></div>
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