Checkers Athletic Club Online Registration

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Registrant #1

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Email Address *

Confirm Email *

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Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

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Gender *

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Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Membership *

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Married Couple/Domestic Partnership Memberships

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Checkers Athletic Club

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Registrant #1

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Registrant #1

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Choose Your Membership *

Registration is full for the following Membership :

Registration is full for the following Membership :

Registration is full for the following Membership :

Family Pricing

Married Couple / Domestic Partnership Pricing

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