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Educational Clinic Request Form

Thank you for your interest in Educational Clinics.  Please complete the form below and press submit.  To provide quality service, we request that you provide us with at least two weeks in lead-time.  Additionally, all clinics require a minimum of three participants to run.  If you’re not sure if that flaky friend will come, ask another one to join for good measure.  Regardless, all clinic participants must either be a current ASU student, or be a UREC Pass holder.

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Please select a date that you wish to host this clinic. Once submitted, our instructor will work with you to select the best time.
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Please select a backup date.
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Please, check all that interest you. If the clinic is not listed below, check other and fill out the comment box below with some additional information.
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Three participants are required to run the clinic. You may invite additional friends, but your original request must list three participants.
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Three participants are required to run the clinic. You may invite additional friends, but your original request must list three participants.
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