EAP Event Signup

This form allows for one event registration at a time. Submit one form per event.


First Name:

Last Name:

Email Address: (required)

To register for an EAP Program, please select from the following list:
UPTOWN: Couponing 101 (Sept. 17)
UPTOWN: Remaining Safe & Independent in the Face of Aging & Illness (Oct. 6)
6-Hour Defensive Driving Class (Oct. 19 & 21)

Questions or comments: