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Extensions can be requested 10 days prior to original due date, no sooner.
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 a 30 day extension to complete the assessment.
first name
last name
email address
facility name
Group Fitness Directors Name
Group Fitness Directors Email Address
Reason for needing an extension:
additional comments
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