Equipment Orientation and/or Fitness Assessment Registration

Equipment Orientation and/or Fitness Assessment Registration

Thank you for showing interest in our Campus Recreation Equipment Orientations. The demographic information collected on this form is a means to ensure that we can accurately evaluate our program to ensure that we are marketing effectively to potential clientele. If you have any questions prior to filling out this form, please contact Kia Williams at kwilli@illinois.edu.

answer must be date like mm/dd/yyyy

 

 

required3. Gender:

required3. Gender:

answer must be date like mm/dd/yyyy

 

required5. Ethnicity:

required5. Ethnicity:

 

answer must be phone number with area code like 217-333-1000

 

 

required9. Which are you interested in attending:

required9. Which are you interested in attending:

 

required12. Preferred location to train:

required12. Preferred location to train:

 

15. If you are a student, are you a:

15. If you are a student, are you a:

16. How did you hear about Campus Recreation Equipment Orientations?

16. How did you hear about Campus Recreation Equipment Orientations?

Include your email address in your submission to:

  • Get a copy of your answers

Thank you for filling out this form to request an equipment orientation. We look forward to seeing you soon!