Weight Loss Ongoing Support Group Registration Form

As with any lifestyle change, ongoing support for your efforts to lose pounds and maintain a healthy weight once you've reached your goal will be critical to your success. That's why we offer a monthly Weight Loss Support Group meeting for those who've had their surgery. At the meetings you will be able to ask questions and hear and share stories about the post-surgery weight loss journey in a safe, friendly, supportive environment.

Weight Loss (Bariatric) Support Group

Meets the 2nd Wednesday of each month 
4 - 6 p.m.
Marley Education Center, 765 Irving Ave., conveniently located on University Hill, minutes off the East Adams St. exit of Route 81 north and south.

Free parking for attendees is available in the Marley Education Center garage (garage is beneath the building and entrance is located at the corner of Irving Ave. and University Pl.)

To register, please call 315/472-2464 or complete the form below.

1. Support Group Registration Form

   * = Required
   
   * Please check all the meetings you wish to attend
   
   

   1. May 8
   2. June 12
   3. July 10
   4. August 14
   5. September 11
   6. October 9
   7. November 13
   8. December 11

   
   

   * First Name

   

   * Last Name

   

   * Street Address

   

   * City

   

   * State

   

   * Zip

   

   Email Address

   

   * Phone

   

   Work Phone

   

   Cell Phone

   

   
   * Total Number Attending Seminar (including yourself)
   Sorry, but children are not able to attend.
   
   
   What was your surgery date?
   
   
   Where was your surgery done?
   
   
   Type of surgery?