The Fitness Challenge

Register for the Fitness Challenge

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Registration form will not accept any special characters (example)

* = required field

First Name: *
Last Name: *
Choose a Username: *
Password: *
Confirm Password: *
Organization/Group: Only select a group if pre-registered at this site. If not pre-registered, please skip.
Email Address: * Email address is required so that you may retrieve your password in case you lose it.
Age Range: *	(If you are a child under the age of 13 your parent or guardian must enroll you in the Family Fitness Challenge.)
Zip Code: *	You must live or work in Anne Arundel County to participate in the Fitness Challenge.
Gender: *
On an average day, how many cups of fruits and vegetables do you eat? * (A cup is...)
On an average day, how much time do you spend exercising, taking a walk or doing something else physical? * (Physical activity is...)
Where did you find out about the Fitness Challenge? *
If you said Other above, please specify:

Disclaimer: *

I am at least 13 years of age. (If you are a child under the age of 13 your parent or guardian must enroll you in the Fitness Challenge. )
I will assume all responsibility for updating my personal information and any of my children�s information if enrolled in the Fitness Challenge.
Most healthy people do not need to see a doctor before they start a gradual program of physical activity. But do talk to your doctor before you begin an exercise program if you are not used to energetic activity or have an illness such as asthma, high blood pressure, heart disease or diabetes.

I have read the above disclaimer and accept the terms.