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New Member - - Sign Up
 Returning Member Signup

 

New Member Sign up Information
 
Step 1 of 5
If you sign up here, you will be prompted to pay with a credit card after you have chosen your team.

First name:  ! required field
Last name:  ! required field
Email address:  ! required field
Address: 
City: 
State: 
Zip: 
Phone:  ! required field
Username for web access:  ! required field
Password:  ! required field
Re-enter Password:  ! required field
Birthdate:   ! required field
Shirt Size: 
Do you have medical conditions which may affect your training?  Yes No ! required field
If so, please explain: 
Note: if you have medical conditions, you must provide M4L written consent waiving your condition by your physician before training with M4L.

Emergency contact while you (or your child) are at training:
Name:  ! required field
Phone number:  ! required field

How did you hear about us?

What are your goals?

Questionaire: (use NA if the question does not pertain to your event)
On a scale between 1 (low) and 10 (high), how would you rate your overall current fitness level?
Using the 1-10 scale, how would you rate your swimming ability?
How many laps can you swim comfortably in a 25 yard pool?
Using the 1-10 scale, how comfortable are you swimming in the ocean?
Using the 1-10 scale, how would you rate your biking ability?
Using the 1-10 scale, how would you rate your running ability?
How many minutes can you walk/run continuously?
What portion of the training do you need to focus on the most?
What drew you to the concept of M4L?
What charity area is of most interest to you?

Optional Information for the membership:
Marital Status
How many children do you have?
Occupation
Schools Attended
Special Interests
Athletic Background

 
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