Health And Physical Education Club (HPE)

Membership Application
Name*
First Last
Date of Birth*
GSU Email*
Cell Phone
Can we text you?*
- Yes
- No
T Shirt Size*
- S
- M
- L
- XL
- XXL
Expected Graduation Date
Career Path
Are you interested in serving on the Executive Board?
Are you interested in attending conferences such as GAHPERD and the National SHAPE America Convention?
Consent*
By clicking you are agreeing that everything in this form is correct and will be used as your signature.
Date of Consent*
Date Format: MM slash DD slash YYYY
All Information provided by applicants will be kept confidential. Please make checks out to Georgia State University and thank you for joining.
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