Living Well with Diabetes Virtual Series Registration Question Title * 1. Address Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 2. What day of week would you like to join a class? Monday Tuesday Wednesday Thursday Friday Question Title * 3. What time of day works best for you join a class? Morning (9 AM EST | 6 AM PST through 11 AM EST | 8 AM PST) Afternoon (11 AM EST | 8 AM PST through 3 PM EST | 12 PM PST) Evening (3 PM EST | 12 PM PST through 6 PM EST | 3 PM PST) No Preference Done