Zoom Cognitive Physical Fitness Zoom Need help learning how to use Zoom? Zoom instructions Zoom Cognitive Physical Fitness No surveys for this registrant Stop surveys Select this option to discontinue surveys to this registrant. Agreement is required for participation * I agree I have carefully read the Schmieding Center’s Release and Waiver of Liability Statement and understand it to be a release and waiver of all potential claims and causes of action for my injury or death or damage to my property that occurs while participating in programs offered by the UAMS Schmieding Center, either in-person or via technology, and it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act(s) or omission(s). Next First * First Last Last Email * Phone * Residence County BentonWashingtonMadisonBaxterBooneCarrollIzardMarionNewtonSearcyStoneother Gender MaleFemaleOther Race African-AmericanAmerican IndianAsian/Pacific IslanderCaucasianHispanicMiddle EasternOther How did you learn about this program? Facebook Website Word of Mouth My Center on Aging (the Schmieding Center) My Healthcare Provider (e.g., doctor, nurse, etc.) Other (check all that apply) Fill-in Pre-Survey that follows to Complete Your Registration
