Stretch, Relax, Nourish, 3/31/14

1. Graduate Appreciation Week Wellness Program

Please take a moment to register for the Stretch, Relax, Nourish session during Graduate Student Appreciation Week:

Monday, March 31st
4-5 pm, Peter/Wright Rm, UC

Followed by dinner at 5 p.m. for participants.

Question Title

* 1. Full Name

First Name

Last Name

Question Title

* 2. Email Address

Question Title

* 3. Degree Sought

Master's

Ph.D.

Post Doc

Other (please specify)

Question Title

* 4. Department

Question Title

* 5. If not a student please identify your position at Carnegie Mellon

Question Title

* 6. Special Accommodations:

	Yes	No
Facilities (wheelchair, sign language)	Facilities (wheelchair, sign language) Yes	Facilities (wheelchair, sign language) No
Other	Other Yes	Other No

Please specify any special accommodations

Question Title

* 7. Dietary Needs

Gluten-free

Vegetarian

Vegan

Other (please specify)