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Please select the program(s) for which you have not passed assessment:
Group Active
Group Blast
Group Centergy
Group Core
Group Fight
Group Groove
Group Power
Group Ride
R30
3D30
MOVE30
Please choose one of the following:
I no longer wish to complete the assessment for the program.
I need an extension to complete the assessment.
first name
last name
email address
facility name
Group Fitness Directors Name
Group Fitness Directors Email Address
How long of an extension do you need?
30 days
45 days
60 days
Other
Please specify how long of an extension you need:
Reason for needing an extension:
additional comments
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