Destress With Terrapin Teachers Sign-Up Form
In order to participate in the event, students will have to fill out the form below. Space is available on a first come, first served basis.

Event Details:
May 15, 2019
10am - 11am
Regents Garage Multi-Purpose Room (MPR)

Medical Disclaimer – Please consult your physician or other health care professional before starting this or any other fitness program. If you have a bone or joint problem that could be made worse by a change in physical activity, consult with your physician and obtain a medical release permitting exercise before starting this or any program. Do not start this fitness program if your physician or health care provider advises against it. If you experience faintness, dizziness, pain or shortness of breath at any time while exercising you should stop immediately and consult your physician if symptoms continue or worsen. If you are experiencing a medical emergency please dial 911 or seek emergency medical treatment.

First Name *
Your answer
Last Name *
Your answer
UID Number *
Your answer
E-mail *
Your answer
Cell Phone Number *
Your answer
Major *
Your answer
Classification (ex. Junior) *
Your answer
Have you ever been enrolled in a Terrapin Teacher course? *
If yes, please list the courses and the semesters they were taken.
Your answer
We are asking for your consent to allow Terrapin Teachers to photograph or videotape this event to promote the program and its activities.
Do you give your consent? *
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