JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LIFT Interest Form
Please submit your interest no later than March 19, 2021| Questions contact Crystal Smith, 252-257-3640
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First and Last Name
*
Your answer
How do you identify yourself?
*
Sr. Adult (age 45 +)
Young Adult (age 18 - 44)
Youth (age 9 - 17)
I am interested in learning more about the LIFT (strength training) program
*
Absolutely
I would love to learn more about it
Do you prefer to exercise
*
Face to face
Virtual (ZOOM)
I'm flexible
Which time of the day is best for your schedule to exercise with a group? (Approximately 1 hour)
*
9:00 a.m.
12:00 noon
6:30 p.m.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University.
Report Abuse
Forms
