Intramural Interest Form

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Email address *

First name *

Last name *

What Intramural sport options are you interested in? (Select all that apply)

Basketball Volleyball Bowling

What is your level of experience with the selected sport/sports you selected?

Beginner Intermediate Advanced

Are there any other Intramural options you would like to see offered at Western? (Please describe)

Do you have any medical conditions or allergies that we should be made aware of?

* required field