Watch for more information to be added. Nygard Fitness Add New Class Participant Use this form to add a new class participant to your class Date* MM slash DD slash YYYY Class Name* Legends of Cottage Grove Legends of Woodbury Zion Lutheran Church Participant Legal Name* First Last Please enter FULL LEGAL NAME hereNickname Participant Birthdate MM slash DD slash YYYY Required for insurancePhoneEmail Contact Preference* Phone Call Text Message Email Payment Choice* SilverSneakers Silver&Fit RenewActive Other Insurance Monthly Subscription (requires ACH form) Insurance Member NumberIf known. If not known, they must provide full name and birthdate, including year, for us to check for them or else agree to do monthly subscriptionAutomatic Withdrawal Form*Max. file size: 15 MB.For subscription
