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* 1. First Name

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* 2. Last Name

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* 3. Gender

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* 4. Please indicate campus affiliation:

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* 5. Please enter your 9-digit Bruin ID # (found on your BruinCard):

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* 6. Department

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* 7. Email

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* 8. I will attend the following Stress Less Week activities:

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* 9. How did you find out about the Stress Less Week?

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* 10. Are you currently a member of UCLA Recreation? If not check out our great packages on the UCLA Recreation website.

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* 11. In order to complete your registration, Please read the following waiver HERE and indicate below you have read and understood this document by typing your FULL NAME.

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* 12. I understand by agreeing, my signature is being transferred electronically, and I will not challenge the validity of the signature in any legal proceeding in which this document may be offered or used.

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