Sign-up for Classes

To register for classes, please complete the information below so that we can process your request.
Click here for a list of classes

Or sign up by calling the phone number listed on the back of your member ID card.

Name *
Member Number *
Mailing Address *
City *
State *
Zip *
Phone * Use this format: 123-123-1234 or (123) 123-1234
E-mail *
Are you a NEW participant of Rochester, NY Wellness Center programs? Yes No

Fill in program name and code below (use the date if no # is given)
Program Name

Program Code
ex: ABCD 12345

Additional Comments/Suggestions