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:
Zumba - TUESDAY Class (June 11 - August 6)
Zumba - THURSDAY Class (June 6 - August 8)

Questions or comments: