Print this form, complete and mail with your check  to the address listed below.

Breast Cancer Network of Western New York, Inc. Class Registration Form

Please circle or highlight your class selections.

The Breast Cancer Network of Western New York will once again be offering Quality of Life Classes for Survivors this Year. All classes are free, however there is a suggested $10 donation for each class. Please note that some classes are during the day and some are in the evening to accommodate those who are still working.

Review the classes below and circle or highlight your class selection and dates of classes. Record on your calendar as no confirmation will be sent.

Questions: Contact Marcia Heaney at info@bcnwny.org

Class      Day of Week      Time            Dates of Class                            Instructor

Tai Chi    MONDAY       11-12:30pm      Starts January 9th                       Bert Ernst

                                                      Every Monday morning-

                                                      No class Feb.28 - April 16.

                                                      Resumes April 23.

 

Yoga      MONDAY       6-7 PM            Starts January 16th                      Terrie South

                                                      Every Monday evening

Cooking  WEDNESDAY 10:30 AM- 12:30

Class                                February 1, 8,15, 22, 29              To Be Decided

Hope Chest

Exercise    WEDNESDAY  6-7 PM           Starts January 11th                     Karen Roth Trainer

                                                       Every Wednesday evening

Watercolor

Art Class    THURSDAY  10 - Noon         January 12, 19, 26, February 2    Linda Dugan

Zumba      THURSDAY  6:00-7:00 PM      Starts January 5th

                                                         Every Thursday Evening             Miriam Kelley

Exercise

With Bambi   FRIDAYS  10-11 AM             Starts January 6

                                                          Every Friday morning                 Bambi Horton, Trainer

ALL CLASSES ARE HELD AT OUR BUILDING:  BELLA MOGLIE, 3297 Walden Avenue, Depew, NY 14043, 716-706-0060

Name_________________________________________________________

Address________________________________________________________

Telephone Number_________________________________________________

Email:__________________________________________________________

Please submit your registration DONATION ($10 per activity- Checks can be made out to BCNWNY-this is a tax deductible donation) and your name, address, phone and email with selection and send to: Note: Drawing and Cooking have limited space. Mail to:

Winter Classes-BCNWNY

c/o Judy Austin-Hubsch

14 Park Walk

Lancaster, New York14086