Virginia Tech Department of Recreational Sports
Membership Concern Form
Must include name and contact information for this form to be addressed.
Name: Email: Phone Number:
Status: Student Faculty/Staff Other:
Location: On Campus Off Campus
Program Area/Building: McComas Hall War Memorial Hall Pool/Aquatics Fitness
Intramural Sports Sport Clubs
Please describe your concern in detail:
What is your recommended action?
In Office Use:
Received By: Date:
Record of any document or information given to patron:
Submit to Recreational Sports Office, 142 McComas Hall, Blacksburg, VA 24061