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* 1. The Details:

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* 2. Which of the following best describes your current level of fitness?

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* 3. Do you have any health issues that would prevent from participating in recreational activities and/or sports?

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* 4. Do you have any mobility issues or accessibility requirements that we should know about in order to ensure adequate equipment and access?

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* 5. Which of the following activities/sports would you be interested in competing in if selected? Choose any and all that apply!

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* 6. If you could "COMPETE FOR A CAUSE" which local charity would choose to represent? Choose any and all that apply!

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* 7. Why did you choose that charitable option(s)?

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* 8. In your own words, please  tell us about yourself:

Who are you?
What's your story?
What makes you tick?
Why do you want to "COMPETE FOR A CAUSE"?

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* 9. Attach a picture of yourself so we know who we're looking for! (optional)

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