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MRC Client Registration

The information you provide is confidential and will be treated accordingly.

By filling out this form, you consent to receive services from Mountain Resource Center and forever discharge the Mountain Resource Center from all liability for any injury or loss caused by participation in these services.

Primary Contact Information







Household Information










Additional Family Members








Yes No Not Applicable

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Upcoming Courses:

Culinary Adventures for Adults- At Home Take-Out Sessions 1 & 2
April 15th and 17th,
 11am to 1 pm
Health Speaker: Beth Hackett Certified Health Coach Health, Hope & Success, LLC
Check-In with Yourself- Mental Health










Waivers and Covid-19 Information
By selecting "I Accept" using any device, means or action, you consent to the legally binding terms and conditions of these Agreements. You further agree that your electronic signature on this document is as valid as if you signed the document in writing.

Media Release


Liability Waiver


Covid-19 Waiver and Guidelines