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Contest Registration Form
Name:
Weight:
Address:
Occupation:
City:
Interests:
State:
Are you a current member of a gym?
Yes
No
Zip:
Gym Name:
None
Bally Fitness
LA Fitness
Gold's Gym
Phone:
Gym Address:
Email:
Age:
Sex:
Height:
Please make a selection.
By checking this box, I hereby confirm that I am at least 21 years old. I also confirm that I have read and agreed with the Bodz2Die4.com
Acknowledgment and Agreement
form.
I also acknowledge that I will print, sign, and mail a physical copy of the agreement to Bodz2Die4.com
along with my non-refundable registration fee as requested.