Student Presider Survey
Complete the form below to serve as a presider for one of the Student Section programs at the 2007 PSAHPERD Annual Convention, November 15 - 18 at the Lancaster Host Farms and Resort in Lancaster, PA. Thank you in advance for your time.
Name:
College/University:
E-mail address:
Major:
Class standing:

Home Address: School Address:
Home City: School City:
Home State: School State:
Home Zip: School Zip:
Home Phone: School Phone:

Arrival Day and Time at Convention
Departure Day and Time at Convention



Thank you again!