Susan G. Komen Training Program Interest Survey
Susan G. Komen Virginia Blue Ridge has teamed up with Runabout Sports Roanoke to provide participants with a FREE Training Program! Training will begin Tuesday, March 7th and end Friday, April 28th. Even if you sign up after we start, we invite you to join us anytime and be a part of the fun! Complete this survey if you are interested in participating!

There will be a FREE information session on Sunday March 5th! So be sure to stop by our store at 4600 Brambleton Ave!!

Name (First and Last Name)
Your answer
E-mail Address
Your answer
Phone Number (xxx) xxx-xxxx
Your answer
Address
Your answer
Which Training Group are you interested in participating in?
Describe your past and current exercise experience (walking, running, gym, weights, etc.)
Your answer
Which evenings are you available to train? (choose your top 3)
Emergency Contact (Name and Phone Number)
Your answer
Submit
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