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Fitness Outreach Request
Fitness Outreach Request
Requesting Group Name:
*
University Affilation
*
CSI Student Organization
K-State Department
Other
Preferred date
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Preferred time
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Preferred location (if other than the Rec Complex)
Preferred group fit class format or topics to be discussed (Please describe in detail)
*
Participants (Approx. age/gender/etc.)
*
Projected number of participants
*
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Group Representative
Please fill out the following information for the group representative.
Name (first, last)
*
Email
*
Phone Number
*
Address: (street, city, state, zip)
*
Position/Title
*
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