Zumba for a Cause Sign Up Form

Zumba for a Cause

Benefiting the Leukemia & Lymphoma Society

Sunday, April 27th, 12:00pm - 1:30pm
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Member Status*

Active HAC MemberNon Member
Please arrive 10 minutes early to allow for time to fill out the guest liability waiver form at the Front Desk. Photo ID required.

Class Options

USD$20 donation recommended, additional donations welcome.