Name:

PID:

Month: Day: Year:

Time In: to Time Going Out:

Specific Location Studying At:

Agree to Terms and Conditions

Terms and Conditions: By Submitting the form above, you a brother of Gamma Zeta Alpha Fraternity Inc: 1) Agree to be signing into study hours at the time and location indacated by you. 2) Agree to be studying throughout the time and date you specified above. 3) You agree not to forge any of the forms information and be as detailed as possible as it refers to location of studying.Failure to comply with any of the terms above you agree to volun tarily forfeit all study hours already submitted for the respective academic week.

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