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 Campus: Tuesday Zumba Class (June 6 - August 1)
Uptown Campus: Thursday Zumba Class (June 8 - July 27)
4 Tower Place: Change for Good (June 2)

Questions or comments: