In operation for more than 150 years, YMCA is one of the largest, nonprofit community service organizations in United States. It provides a variety of programs for children, adults, couples, senior citizens and families. The organization offers swimming lessons, as well as water fitness programs. It provides day camp and preschool options for children. The organization offers breakfast and lunch services daily. YMCA also provides transportation options for before- and after-school programs. The organization offers indoor group cycling and first-aid certification classes. It provides personal nutrition coaching and diabetes awareness and prevention programs. In addition, the organization offers nursery services. It operates summer recreational programs that provide opportunities to participate in several activities, such as games, sports, and arts and crafts. The organization provides Bible study, dance, karate, golf, yoga and music programs. YMCA additionally publishes an e-newsletter.