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Brenner FIT Class Registration

We allow participants to register for up to 3 classes at a time.  

Name*:  
Phone Number*:  
I would like class reminders via text message?*:
Email Address*:  
Name of Class Being Requested*:  
Date of Class Being Requested*:  [None] Select a Date Delete the Date
Number of Participants*:  
Childcare Needed*:
If yes, please list ages of children
needing childcare:
   
Any Food Allergies:    
We would love to know---
How did you hear about our classes? 
   
Would you like to receive our
email newsletter?
    I would like to receive newsletters and
other communications from Brenner FIT delivered to my inbox

*Indicates required field.

Please note: Submitting this form is only a request to participate.  You are not registered until you receive an email from Brenner FIT confirming that you are registered.

 


If you have any questions, please email brennerfit@wakehealth.edu.