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Title II Report

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Club Membership Form

HPER Club Membership 2008-2009
Health, Physical Education and Recreation

Name: ________________________ ____________________________
First Last

Major: ________________________ Minor: ________________________

e-mail: _______________________ Phone: _______________________

Please Circle One: Fr So Jr Sr

Please Circle One: Semester $7.00 Year $10.00

Please Return to: HPER Club Office (Albee 107)

Suggestions for actvities/ speakers: _________________________________________________

_____________________________________________________________________________

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