Preventing While Experiencing Pseudotumor Cerebri Awareness Form

Preventing While Experiencing

Pseudotumor Cerebri Awareness
Event

Preventing While Experiencing is an interactive way to spread awareness about Pseudotumor Cerebri.This year we will be having a fitness class with Strength & Conditioning Coach JewMonte Lewis! One of the risk factors of Pseudotumor Cerebri is obesity and one of the treatment methods for Pseudotumor Cerebri is weight loss. Blind Intelligence is taking the initiative to bring out the community to stay active. Thank you so much for your interest in participating in Preventing While Experiencing 2024 and I hope to hear you there in person!

(Our priority deadline to register for this event is September 7, 2024. On site registration will be $35.)
Information

** Adult fitness class, but ages 12+ are able to participate with signed waiver by parent/guardian. Event is kid friendly! This will secure us on any issue with legality and Informed Consent..
Date: September 21, 2024

Time: 10:15am-12pm

Location:Beckley Saner Recreation Center
114 W Hobson Ave, Dallas, TX 75224,

Attire: Active wear
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
How did you hear about this event

My Products*

Awareness Ticket

$25.00 QuantitySize

Vendor Ticket

1 table and 2 chairs will be provided

$25.00 Quantity

Total

$0.00

Credit Card

Apple Pay

Google Pay

Cash App Pay

IF YOU HAVE MULTIPLE T-SHIRTS TO A ORDER PLEASE LIST THEM AS SO example”1Small 2Mediums etc.”
Additional information and disclaimer:
1. There's a $2 service fee applied to your payment methods for online transactions.

2. **T-Shirts are guaranteed for everyone who registers by September seventh. After September 7 and During the event T-Shirts are first come first served.

3. If you register for this event after September 7, you will not be guaranteed the requested T-shirt size.

4.You consent to Blind Intelligence using your likeness and any media taken from this event.

5.You agree to have text messages and email reminders about this upcoming event

6. There is no refund for this event.

7. Blind Intelligence and JewMonte Lewis Fitness & Training Empowerment are not responsible for and injuries that may occur during this event.

8. If you need to alter any information or have any questions please email Info@professorblindie.com
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Preventing While Experiencing