Class Registration
First and Last Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Gender
Please Select
Male
Female
Other
Date of Birth
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Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Insurance Group Number
Insurance Member Number
Language
Please Select
English
Spanish
Somali
Oromo
Nuer
What class do you want to register for?
Please Select
Mankato area Living Life to the Full (in English, Spanish, Nuer, and Somali)
Mankato area Learning to Breathe (in English, Spanish, Nuer, and Somali)
Mankato area Youth Classes (Somali and Spanish)
Mankato area Fitness Program (Somali)
Mankato area Adult Health Education (Somali)
Metro area Living Life to the Full (in English, Spanish, Oromo and Somali)
Metro area Learning to Breathe (in English, Spanish, Oromo and Somali)
Submit
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