Physical Education - Advising Information

Membership Form

First Name

Last Name

Local Address:

City

State

Zip Code

Home Address (if different from above):

City

State

Zip Code

E-mail address

Telephone

Major

Minor

Shirt Size

Activity ideas:

Speaker ideas:

A $10 membership fee is required to join ESPE Club. Please give your money to Jim Kamla, PAC 317.

8600 University Boulevard - Evansville, IN 47712-3596 - 812/464-8600