Seniors Healthy Active Living Program

Seniors Healthy Active Living Program Registration
Join us for our holistic Seniors Healthy Active Living Program (5 sessions), led by Amina Mohamed, physiotherapist. Explore crucial health topics, receive valuable tips for maintaining a healthy lifestyle, and engage in fitness routines to promote overall well-being.

Date: Monday, January 20th - February 27th, 2025 (5-week program) - No session on Monday February 17th.
Time: Mondays at 4:00 PM - 4:45 PM
Location: ISNA Canada in Hall B
Address: 2200 South Sheridan Way, Mississauga ON L5J 2M4

Please note: This program is open for ages 50 years and up only.

In order to join this program you are required to fill out the Physical Activity Readiness Questionnaire. Upon registration, you will receive an email with the form. We will also have the physical copies of this form available on the day of in case of any technical difficulties.

If you have any questions or concerns, please email programs@isnacanada.com.
Participant Name*

First NameLast Name
Age *
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Any medical conditions we should know of?
Are you currently participating in a type of physical activity (ie., a fitness class, yoga, working out in the gym, etc.) ?*

YesNo
What physical activity are you participating in?
Emergency Contact Name *
Emergency Contact Phone Number*
Where did you hear about this event?*

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Liability Waiver
Signature of participant*

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Seniors Healthy Active Living Program Registration

Liability Waiver