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Recreation Services Personal Training Health History
First Name
Last Name
KU ID Number
Biological Gender
Male
Female
Other
Gender Identity
Male
Female
Transgender
Non-binary/non-conforming
Other
Pronouns
Age
Email
Phone Number
Membership Type (must have current
membership
while personal training)
Undergraduate
Graduate
Faculty
Staff
Affiliate
Retiree
Spouse
Domestic Partner
Other
Emergency Contact Name
Emergency Contact Phone Number
Survey Completion
0%
Current Progress 0%
100%
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