Team Confluence Application
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May we have your first name? *
May we have your last name? *
Can you provide us with a phone number? *
Phone number will not be distributed
Please provide us with an email *
What town are you located? *
Proudest Running or Walking Achievement *
Running and Health Goals for 2013-2014 *
Why would you be a good representative for Confluence Running? *
About How many races do you do a year? *
What distances do you prefer?
1 - Don't Like / Don't Do  5 - Awesome, Basis for Training
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2
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Fitness Running / Non-Race
Ultra Marathon
Marathon
Half-Marathon
10 milers
10k
5k
The Mile
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Do you drive a car?  If yes please provide how many "hours per week" you drive? *
Required
What miles clubs events will you be most interested in? *
Miles club events may not be limited to list below
Required
What social media do you currently use? *
There may be some social media that is not listed
Required
How often do you post to social media? *
Please list any references that would help the selection process
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