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*Type:
Student / Athlete       Educator / Coach
 
*First Name:
 
*Last Name:
 
  For student or educator athletes, please provide home or school address.
For community athletes, please provide home address.
 
*Address:
 
*City:
 
*Province:
 Nova Scotia
 
*Postal Code:
 -
 
*Phone:
 )   -
 
*Gender:
 
*Date of Birth:
 -   -  (yyyy)
 
   

*Username:
(For log in to your Step Tracker)  
*Password:
 
Program:
*Set Daily Goal:
steps per day
 
*Required
 
 
 


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