Q4 Class Listings

Register for as many classes as you would like!

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* 1. Please use the class listing above to select the corresponding class(es) you would like to register for:

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* 2. Please provide us with the following information:

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* 3. If your registration requires supervisory consent, please provide their name.

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* 4. The undersigned declares that he or she is a voluntary participant in the employer-sponsored recreational activities or fitness programs listed above. He or she hereby waives and relinquishes all rights to workers' compensation benefits under Chapter 4213 of the ORC for any injury or disability incurred while participating in the above activities or programs. The waiver is valid for two calendar years. The waiver may not bar any worker's compensation claim filed for death benefits by the employee's dependents.

Please provide your full name and date below:

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