@DanceHerSize Admission Form
Thank you for registering for this free bi-weekly health and wellness event that is sponsored by the BYE Foundation. This registration form ensures that we can get in contact with you for all of our updates on locations and activities, and to ensure we know your food preference information for your free healthy hot meal! For any questions or concerns, please contact acrawford@byefoundation.org or contact our social media @DanceHerSize on Instagram for more information. Thank you!
Full Name
*
Prefix
First Name
Last Name
Please pick the date you plan to attend
*
-
Month
-
Day
Year
We host DanceHerSize every 2nd and 4th Thursday
Please confirm your understanding that this is for moms and not for children, and that childcare is not provided unless notified.
I understand
I do not understand
Are you a new member or are you a returning member?
*
New Member
Returning Member
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Cell Phone Number
*
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select T-Shirt Size
*
XS
S
M
L
XL
XXL
XXXL
Please list all allergies or food preferences
*
What is your overall wellness vision?
*
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I have read and understand the terms of agreement to the DanceHerSize Participant Release & Waiver of Liability
*
I have read and understand the terms of agreement to the DanceHerSize Participant Release & Waiver of Liability
*
DanceHerSize Participant Release & Waiver of Liability Signature
*
I agree to the terms of the DanceHerSize Participant Release & Waiver of Liability
Register Now
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