Event Registration

Children of all ages enter the Health & Wellness Expos free of charge and can register online prior to the event or at the event entrance.

Event*
Your Name*
Your Email*
Your Phone Number
Zip Code
Child's Name
Age
Child's Name
Age
Child's Name
Age
Child's Name
Age
Photo/Video Release
- Yes
- No
Where did you hear about Shape Up US?
- Flyer
- Social Media
- Radio
- Harkins
- TV
- Friend
I grant Shape Up US permission to use my likeness or that of the children named above in a photo/video, without payment or any other compensation. I certify that I am the parent/guardian of the children listed above, and do hereby give my consent without reservation on behalf of this person.
Parent/Guardian Signature*
CAPTCHA