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New User Registration:

First Name*

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Email*

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Work Location:

Department*		Facility*
Med Center Area*	--Select Antelope ValleyBaldwin ParkDowneyFontanaKernLos Angeles Medical CenterOrange CountyPanorama CityRegionalRiversideSan DiegoSouth BayWest Los AngelesWoodland Hills	I am a KP*	--Select EmployeePhysicianContractorVolunteerMemberRetiree

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By registering, you will recieve special offers and announcements from GetFit affiliates.

Optional Information:

Gender:

--Select Male Female

Birthdate:

Year:

 

How often do you work out? (select one):	4-7 days per week
	2-4 days per week
	Less than 2 days per week
	Never

 

What types of fitness routine do you enjoy?	Walking, Running	Basketball
(check all that apply):	Cycling	Baseball
	Aquatic	Soccer
	Weight lifting	Tennis
	Aerobics	Golf
	Yoga / Pilates	Dance
	Hiking	Martial Arts
	Other:

 

Do you participate in events?	Triathalon	Marathon
(check all that apply):	5K Walk / Run	Half Marathon
	Mud Run	Cycling

 

What is your fitness goal?	Lose Weight	Stay Fit / Healthy
(check all that apply):	Increase Endurance	Training for Event

 

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