* 1. In order to complete your registration, please click yes below after you read the following waiver to indicate below that you understand and agree to this document's terms. I understand by agreeing, my signature is being transferred electronically by selecting "yes," and I will not challenge the validity of the signature in any legal proceeding in which this document may be offered or used.

* 2. Last Name

* 3. First Name

* 4. University ID No.

* 5. Email

* 6. Department

* 7. Are you a UCLA Health/Med Center staff member?

FIT Zone - Workouts for work breaks! These workouts are located close to where you work and are FREE for all UCLA Staff & Faculty. Sign-up, drop-in, and get active! These classes are designed to help UCLA Staff & Faculty manage stress; increase mental clarity and productivity; get fit, stay fit, and be well! 

* 8. Please select the classes that you are interested in attending. This is not a commitment to attend (you are free to drop in to ANY Fitzone class at any time without signing up). However, this helps us get a rough head count and helps us email specific updates for specific classes when announcements arise.

* 9. FIT Sports Use drop-in sports to get active and enjoy the camaraderie of your colleagues with FREE Lunch Time Leagues. Drop-in for a game or form a department team if you want!  Either way, it's easy . . . just show up at the gym with your UCLA ID and play! We apologize in advance for times when fields or courts are unavailable due to weather or maintenance.

* 10. On average, how many Fit Zone classes do you plan on attending each week?

* 11. How long have you been attending Fitzone Classes?

* 12. How have Fitzone classes impacted your life?

* 13. Comments/Suggestions: