Fitness for Body and Spirit Registration
Join the Our Lady of Lourdes Parish Family in an Advent fitness class. The class will run for four weeks and is free!  Each class will have a short reflection reminding us the importance of the Advent season. Please fill out the following form to secure a spot in the class.
First Name: *
Your answer
Last Name: *
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
Age Range (If you are a minor, your parent needs to register AND accompany you to the fitness class): *
In case of emergency, please contact: *
First and Last Name
Your answer
Relationship of Emergency Contact to You *
First and Last Name
Required
Home Phone Number of Emergency Contact *
Your answer
Cell Phone Number of Emergency Contact *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Our Lady of Lourdes. Report Abuse