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Home Classes & Events Wellness Classes Register for a Wellness Class
Ways to Wellness Class Registration
Good health begins with you

  1. Use this form to register for any of the Ways to Wellness classes listed below. Cost per person, per class is $10. You may also pay for one or more guests to attend.

  2. Attendee information

  3. Name of attendee*
    Enter the name of the attendee.
  4. Number of additional guests*
    Enter the number of guests you plan to register.
  5. How did you hear of these events?
  6.  
  7. Total registration cost: $0.00

  8. Classes available

  9.  

    Thursday, June 20, 5:30 to 6:30 pm, HealthEast Eagan Clinic, Eagan

  10. Billing information

  11. First Name*
    Enter your first name.
  12. Last Name*
    Enter your last name.
  13. Address*
    Enter your street address.
  14. City*
    Enter your city.
  15. State*
    Enter your state.
  16. Zip*
    Enter your zip code.
  17. Phone*
    Enter a phone number where you can be contacted.
  18. E-mail*
    Enter a valid e-mail address.
  20.  

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