October 5-11, 2026

Balance Boogie #3 (standing, fast pace)

Fill in this form to watch the video

First name *

Last name *

Phone number *

Organization ( if applicable )

Email *

Country *

State/Prov *

I grant Active Aging Week permission to share my submitted information with its sponsors which will use my information in accordance with their privacy policies. I also acknowledge that the use of this information may result in me receiving communications from a representative of the campaigns sponsors.