Sport Clubs Application
University of Wisconsin - Eau Claire
Name of Club: __________________________________________________
Club President: __________________________________________________
Contact Person (if different from above)______________________________
Summer Address: ________________________________________________
Summer Phone and Email: _________________________________________
2012 – 2013 Address:____________________________________________
2012 – 2013Phone and Email:______________________________________
______________________________________
Club Advisor: ___________________________________________________
Campus Address: ________________________________________________
Phone: _____________________________
Are you a recognized Student Organization? Yes____ No____
Are you currently a member of the Sport Club Program? Yes___ No___
Would you like to be a member for the 2013/2014 year? Yes____ No____
By signing and turning in this form you are applying to become a part of the Sport
Club program for the 2013/2014 Academic year. You also are aware of the first meeting,
which will take place on the first Wednesday in September at 4:00pm in the Hilltop lounge.
It is mandatory that a representative from your Sport Club attends this and all of the
meetings throughout the year.
Signature:______________________________ Date:________________
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