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Group Registration Form ZumbaThon 2013

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Print out this registration form for your group, and submit to the Health Education Office (5th Floor Medical Arts Building) by Feb. 1st, to be guaranteed a t-shirt.
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  • Added: January, 22nd 2013
  • Reads: 40
  • Downloads: 0
  • File size: 260.25kb
  • Pages: 1
  • Tags: pitt, pantherwell, zumba, health, wellness, fitness
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  • Name: Pitt PantherWELL
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Content Preview

Zumba-thon 2013
Saturday, February 16th
Group Registration Form

Name of Organization: ________________________________________________________
Primary Contact: Name________________________________________________________


Email_______________________ Phone number____________________
List of Participants:
Name
Email
T-shirt size
(S, M, L, XL)








































Total Amount Included:______________
Fee: $10 per participant (includes a t-shirt, water, & up to 4 hours of Zumba!)
*Special Rate* $8 per participant with groups of 10+
Are you interested in tabling at this event?_________________
Please Return by February 1st at 12 p.m. to:
Office of Health Education and Promotion
5th floor Medical Arts Building (next to Rita's)
For more info or questions, please send an email to pittpantherwell@gmail.com
*Primary contact must also be included in list of participants.


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