University Recreation

Program Intake Form

• UREC Program Intake

 

Contact Information

First Name	Last Name
Email
Phone	Alternate Phone

Group Information

Group Name
Phone
Legal Billing Address
Zip / WSU Mail Code
	ID WA
WSU Building	WSU Room

We are: WSU Student GroupWSU Staff or WSU Other
WSU Acedemic GroupOther Group TypeGroup Definitions

Please tell us the number of people in your group:


Please describe what type of group you are: 
 


  
  

Department or office , PO Box 640000, Washington State University, Pullman WA 99164-0000, 509-335-0000, Contact Us