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Membership Registration
You can contact us on 612.584.3125 or email us on
julie@themanupclub.org
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* Indicates required question
Email
*
Your email
Name (Last Name, First Name)
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Age
*
Choose
12 years old
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old
19 years old
20 years old
21 years old
22 years old
23 years old
24 years old
Contact Number
*
Your answer
By using this number, do you agree to receive messages from Man Up for the updates, announcements, etc.?
*
Yes, I agree
No, please exclude me
Address (House No., Street, City, State, Country)
*
Your answer
Guardian's Full Name (Last Name, First Name)
*
Your answer
Guardian's Contact Number
*
Your answer
Educational Attainment
*
Choose
Out of School
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
High School Graduate
1st Year College
2nd Year College
3rd Year College
4th Year College
College Graduate
What is your T-Shirt size?
*
Your answer
Why do you want to be a Man Up member?
*
Your answer
Are you willing to make a monthly donation to The Man Up Club?
*
Yes
No
Somewhat
If so, how much can you afford each month?
*
Your answer
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