Group Registration Form ZumbaThon 2013

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

Name of Organization: ________________________________________________________
Primary Contact: Name________________________________________________________

Email_______________________ Phone number____________________
List of Participants:
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 [email protected]
*Primary contact must also be included in list of participants.