Recreational Activity Interest Form

Please fill out this form to indicate your interest in participating in recreational activities at Western. We will add you to our communications list for future programming!

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Email address *

City *

Last name *

State *

First name *

What is your primary campus location *

Black River Falls Independence La Crosse Mauston Sparta Tomah Viroqua

What gender do you identify as? *

Female Male Non-Binary Prefer not to say

What best describes your student status (enrollment) *

Full-time (12+ credits) Part-time (6+ credits) Part-time (<6 credits)

Which pillar of recreation are you interested in? (Select all that apply)

Varsity Athletics Club Sports Intramurals (activities on Western campus) Extramurals (activities in surround community) Outdoor Adventures Fitness

What type of outdoor activities are you interested in? (Select all that apply)

Walking Hiking Biking Running Skiing Snowshoeing Rollerblading

What is your athletic skill level? *

Beginner Intermediate Advanced Expert

Are there any other sport offerings you would like to be included?

* required field