Get Moving 2020 Registration Form
Cost: $20 for adults (13+) and $10 for children (5-12)

Dates: January 11 & 25, February 8 & 22, March 14 & 28 all session begin at 5:30 p.m.

Location: 1942 Magazine St. Louisville, KY 40203
Email address *
Name *
Address *
Email *
Phone Number *
Age *
Are you a former participant or a new participant? *
Required
How did you hear about this program? (check all that apply) *
Required
What led you to try this program? (check all that apply) *
Required
What is one goal you'd like to complete at the end of this program? (check all that apply) *
Required
I understand that I will have to pay my designated program fee at the start of the program? *
Required
A copy of your responses will be emailed to the address you provided.
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