Virtual Wellness Presentation Registration Form

Coatesville VA Medical Center, December 2020

After you hit the "Submit" button, you will be registered for the class. A few days prior to the scheduled presentation, you will receive an email message containing the link to join the meeting.

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* 1. Select class(es) that you would like to register for:

De-Stressing the Holidays (12/7/20, 6-7 p.m.)

Healthy Eating Tips (12/8/20, 6-7 p.m.)

SAVE (12/1/20, 3-4 p.m.)

SAVE (12/16/20, 12-1 p.m.)

Taking Charge of 2021 Resolutions (12/29/20, 4-5 p.m.)

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* 2. First Name

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* 3. Last Name

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* 4. Email Address

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* 5. Phone Number (optional)

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* 6. How did you learn about these classes?

Facebook Post

Email from Coatesville VA Medical Center

Coatesville VA Medical Center Webpage

Friend/Acquaintance

Other