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CSUF Juggling Club, Fall 2005
MEMBER REGISTRATION FORM
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Complete this form and email responses to csufjugglingclub@gmail.com

Or download a printable version to complete and return to any 
CSUF Juggling Club officer at http://www.raymondfero.com/csufjugglingclub/mreg05b.gif

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   CONTACT INFO (REQUIRED) 
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   NAME (First and last): 

   EMAIL: 
   AIM: 
   PHONE: 

   [ ] I am a new member
   [ ] I am a returning member


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   ADDITIONAL INFO AND INTERESTS 
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SCHEDULE:
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   Please select all meeting times that work with your schedule.
   Meetings generally last 1-3 hours; you do not need to stay the whole time.
   Leave a box unchecked if you are unable to meet during that time.

   Weekly On-Campus Meetings:
      [ ] Wednesday at 1:00 pm
      [ ] Tuesday at 12:00 noon
      [ ] Monday at 12:00 noon

   Outside Park Meetings:
      [ ] Sunday at 11:00 am
      [ ] Tuesday at 4:00 pm
      [ ] Friday at 4:00 pm

      Please include any preferences or additional
      scheduling information that may be helpful:



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EXPERIENCE:
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   [ ] I am a new juggler
   [ ] I can juggle 3 balls for over 20 catches
   [ ] I can juggle 3 balls for over 200 catches
   [ ] I can juggle 5 balls for over 20 catches

   [ ] I can ride a unicycle


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INTERESTS:
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   Rate your interest in events in order
   from 1 (most interested) to 5 (least interested).

      [ ] Open juggling practice
          (Weekly meetings, park juggling, etc.)
      [ ] Social events
          (Movie nights, hiking trips, beach bonfire, potluck, etc.)
      [ ] Performing
          (Parades, libraries and youth groups, on campus, etc.)
      [ ] Unicycling
          (Freestyle, street, MUni, trials, etc.)
      [ ] Workshops, festivals, and professional performances
          (Attending and hosting)

          Other (List any other or specific interests): 


   What specific props are you interested
   in learning or practicing with?
      [ ] Rings
      [ ] Clubs
      [ ] Devil Sticks
      [ ] Diabolo
      [ ] Unicycle
      [ ] Other (Specify):


   I may be interested in purchasing:
      [ ] Juggling Club T-Shirt
      [ ] Juggling Club Hat
      [ ] Juggling Club Silicone Wristband
      [ ] Juggling 3-Beanbag Set


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