Wellness Happy Hour 6/23

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Registration

Email *

First Name *

Last Name *

Email Address

Bringing a Guest?

Yes

Maybe

Other:

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Guest First Name

Guest Last Name

Guest Email Address

Are you interested in joining a group who will meet up to do things which are wellness/fitness oriented on a monthly basis, or even more regularly?

Yes

Maybe

Other:

Clear selection

Are you interested in receiving information about wellness programs?

Yes

Maybe

Clear selection

Are you interested in a weight loss program?

Yes

Maybe

Clear selection

Are you interested in a beauty program?

Yes

Maybe

Clear selection

Are you interested in a gym membership?

Yes

Maybe

Clear selection

Would you like to join a weight loss challenge or a beauty GLOW up event?

Yes

Maybe

Other:

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Have you ever been interested in entrepreneurship?

Yes

Maybe

Other:

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Are you simply coming to meet people interested in wellness/fitness and to possibly make some new friends?

Yes

Maybe

Other:

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This form was created inside of Front Street Cafe.