The Alaska Club Wellness Classes and Seminars

Register below!
Anchorage Alaska wellness education and seminars

Small Group/Youth Class Registration Form
Check spelling and fill out completely. *These fields are required.

*Participant Name

*Program Name

Emergency Contact

Emergency Number

*Participant Mailing Address

*Phone

*Email

Work Phone

*Date *Member/Scan Number

Class charges

	You have my approval to charge the cost of my desired class to my account for this month.
	You have my approval to charge the cost of my desired class to my account monthly until I cancel from this program.

For more information, contact JT Timothy at 330-0150 or jtimothy@thealaskaclub.com.

Share this: