| First Name * First Name |
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| Last Name * Last Name |
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| Address Line 1 * Address Line 1 |
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| Address Line 2 Address Line 2 |
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| City * City |
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| State/Province * State/Province |
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| Zip Code/Postal Code * Zip Code/Postal Code |
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| DayPhone * DayPhone |
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| Is this your * Is this your |
Home |
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Work |
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Cell |
| Evening Phone Evening Phone |
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| Is this your Is this your |
Home |
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Work |
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Cell |
| EMail * EMail |
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| How would you like to be contacted? How would you like to be contacted? |
Email |
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Day Phone |
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Evening Phone |
| Gender Gender |
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| I am interested in the following sport * I am interested in the following sport |
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| Select an information meeting to attend
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Meetings Available in your Area:
| Kansas City |
| Tue,01-12-10, 5:30PM Summer January 12 FY2010 North KC Hospital 2800 Clay Edwards Drive North Kansas City,MO,
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| Wed,01-13-10,12:00PM Summer January 13 FY2010 Muehlbach Downtown 200 W. 12th Street Kansas City,MO,64105
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| Thu,01-14-10, 5:30PM Summer January 14 FY2010 Shawnee Mission Medical Center 75th Street And I-35 Overland Park,KS,
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| Tue,01-19-10, 5:30PM Summer January 19 FY2010 Truman Med Lakewood 7900 Lee's Summit Road Lee's Summit,MO,
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| Wed,01-20-10, 5:30PM Summer January 20 FY2010 Muehlbach Downtown 200 W. 12th Street Kansas City,MO,64105
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| Thu,01-21-10,12:00PM Summer January 21 FY2010 Sheraton Kansas City Sports Complex 9103 E. 39th Street Kansas City,MO,64133
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| Tue,01-26-10, 5:30PM Summer January 26 FY2010 Leawood Fire Station #3 148th And Mission Road Leawood,KS,
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| Sat,01-30-10, 9:30AM Summer January 30 FY2010 Centerpoint Medical Center 19600 E. 39th Street Independence,MO,64057
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| Thu,02-04-10, 5:30PM Summer February 4 FY2010 Bass Pro Shop Olathe 119th And I-35 Olathe,KS,
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| Sat,02-06-10, 9:30AM Summer February 6 FY2010 Leawood Fire Station #3 148th And Mission Road Leawood,KS,
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| Select an event you are interested in Select an event you are interested in |
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| Are you planning on Bringing a friend? Are you planning on Bringing a friend? |
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| If yes, what is your friend's name? If yes, what is your friend's name? |
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If you received a mailing about Team In Training, please provide us with the following information from the mailing label:  |
| Participant Code (found in top left corner of mailing label) Participant Code (found in top left corner of mailing label) |
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| Source Code (found in top right corner of mailing label) Source Code (found in top right corner of mailing label) |
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| Are you a TNT Alumnus? Are you a TNT Alumnus? |
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| What was the primary way you heard about Team In Training? * What was the primary way you heard about Team In Training? |
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| If you heard about Team In Training through one of our corporate sponsors or partners, which company was it? |
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| I am an employee of this company's national team I am an employee of this company's national team |
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| I am interested in starting a Friends/Family/Corporate Team. I am interested in starting a Friends/Family/Corporate Team. |
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| Comments |
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| The Society respects your privacy |