Youth Athletics By Affirm INC. | 5710 Harford Road Baltimore, MD 21214 | E: Support@Affirmfitnessllc.com
Wellness Support Program – Interest Form
Building Confidence, Skills and Independence
Affirm Fitness offers a wellness program designed to support adults and youth through fitness, community activities, food support, and wellness education. Complete the form below to see if you qualify.
To be eligible for services through Affirm Fitness, you must list the following referral information on the interest form: Referring Provider – Latroye B. Barber, Affirm Fitness | 5710 Harford Rd Baltimore MD | Phone: 443-742-3521.This step is required to ensure your referral is processed correctly.
Important:
☐ I agree to receive text messages from Affirm Fitness LLC regarding wellness program updates, appointments, and events. Message frequency may vary. Message and data rates may apply. Text STOP to unsubscribe or HELP for assistance.
Our Clients
