Healthy Lifestyles Workshop Reservation Form

Spring 2013 Workshop Series Healthy Lifestyles Workshops Reservation Form
Your Name:
E-mail:
Please indicate which Healthy Lifestyles Workshop(s) you will attend:	Strategic Planning for Your Life Tuesday, January 29, 2013 at 6:30 pm Clendenin Building Room 1009
Telephone Number:
Are you: (check all that apply)	Student Staff Faculty Alumni
KSU #:
Major/Work Department:


If you are unable to honor your reservation, please advise at least three days prior to the event. These programs are funded by student activity fees.