Health Registration - single : Hot Springs Adventist® Church Hot Springs SD

Email

Phone

I would like to request a financial sponsor for this event

Yes No

I would be interested in learning more about: Weight Loss Smoking Cessation Cancer Prevention Diabetes Prevention/Management Depression/Anxiety Recovery Plant-based Cooking Stress Management None of the above Other (please list below)

Paragraph

I give my permission for the possibility of my picture to be published, if chosen, for the purposes of promotional advertising for future health events

Yes No

I understand this registration link is for SINGLE person only. If you have more persons in your family and would like a discount, please use the other registration forms. The registration cost is $10/person.

Yes No