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: Zumba - Tuesday Class (June 2- Aug. 4)
UPTOWN: Zumba - Thursday Class (June 4 - Aug. 6)
Professional Development Workshop: Work/Life Balance "Forget you, I'm going home!" (June 23)

Questions or comments: