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LACERS Well Wellness Champion Registration

Do you have an interest, hobby, or activity that you would like to share with others? LACERS is seeking Retired Members who would like to become LACERS Well Champions.

If you are interested in being a Wellness Champion for an activity of your choice (walking, gardening, cooking, golf), and leading meet-ups with other LACERS Members to participate in wellness activities together, please provide your information below:

*Required information
First Name *
Last Name *
Telephone Number *
Street Address *
City *
State *
Zip *
Email Address *
Activity you are interested in leading *

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