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1. First and Last Name

First and Last Name

2. Worksite

Worksite

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3. SAP number

SAP number

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4. Email address

Email address

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5. I would like to sign up for the following Chair Exercise and Relaxation Class. This can be used as an ABCs of Diabetes Refresher.

I would like to sign up for the following Chair Exercise and Relaxation Class. This can be used as an ABCs of Diabetes Refresher. Thursday, March 1st; 4:30 - 5:45 pm at the Jim Miles Center, Citrus Room

*1. First and Last Name

2. Worksite

*3. SAP number

*4. Email address

*5. I would like to sign up for the following Chair Exercise and Relaxation Class. This can be used as an ABCs of Diabetes Refresher.

*
1. First and Last Name

*
3. SAP number

*
4. Email address

*
5. I would like to sign up for the following Chair Exercise and Relaxation Class. This can be used as an ABCs of Diabetes Refresher.