'Men In Motion' Exercise Class Registration

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We offer daytime 'Men In Motion' exercise classes on Tuesdays and Thursdays from 3:30–4:30 p.m. at UW South Madison Partnership, which is located at 2238 S Park St, Madison, WI 53713. Register below to officially join the class and receive occasional update emails. There is no cost to participate.

If you have questions about classes, contact James Bester, outreach specialist, at 608-265-3171.

'Men In Motion' classes are presented by the Wisconsin Alzheimer's Disease Research Center, and led by Johnny Winston, Jr., Certified Personal Trainer.

Email *

Participant First Name *

Participant Last Name *

Phone number with area code (Use the format 000-000-0000) *

Participant Street Address (for example 102 E. Main Street) *

Participant City, State (for example Madison, WI) *

Participant Zip Code (5 digit, for example 53703) *

Emergency contact name *

Emergency contact phone number with area code (Use the format 000-000-0000) *

Race (Check all that apply) *

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Unknown / Prefer not to answer

Required

Ethnicity
*

Hispanic or Latino

Not Hispanic nor Latino

Unknown / Prefer not to answer

T-shirt size

Men's Small

Men's Medium

Men's Large

Men's XL

Men's XXL

Men's XXXL

Men's XXXXL

Other:

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