"Functional Five" Fitness Workshop for Seniors
Saturday, February 24 - 10:00am to Noon at Christ the Rock Lutheran Church
Participant Last Name *
Your answer
Participant First Name *
Your answer
Participant Age *
Your answer
Email Address *
Your answer
Home Address *
Your answer
Phone Number *
Your answer
How did you hear about the "Functional Five" Fitness Workshop?
Permission to Participate *
The registrant has my permission to participate in Christ the Rock Lutheran "Functional Five" Fitness Workshop for Seniors. I understand that while participating in these activities the registrant may be photographed for print, video or electronic imaging. I understand the images may be used in promotional materials for Christ the Rock Lutheran Church. I acknowledge that these images will be the sole property of Christ the Rock Lutheran Church.
Never submit passwords through Google Forms.
This form was created inside of Christ the Rock Farmington. Report Abuse - Terms of Service - Additional Terms