University Recreation

SRC Alumni, Family and Friends Tailgate Registration Form

Please complete the form to register for the Student Recreation Center alumni, family and friends tailgate.

Name (required)

Previous name used when working

If you have married or changed your name since working at the SRC, please provide the name that would be recognized by the staff.

E-mail address (required)

Home address (required)

City (required)

State (required)

Zip (required)

Home/cell phone

Which department did you work for? (required)

University Recreation

Human Performance and Health Education (formerly Health, Physical Education and Recreation)

What years did you work?

Number of guests you are registering (including yourself) (required)

T-shirt size(s)

Registration includes a t-shirt for each person. Please indicate specific sizes in the box. All shirts are uni-sex cotton t-shirts.

Do you or any of your guests require a vegetarian option?

Yes

Payment Option

Payment can be made by check or cash in the mail or credit card online.

Cash or check by mail

Credit card online