Gym Registration – Maltz Challenge

Gym Registration

Step 1 of 2

Participating Gym Registration
Please complete form below. All submissions are sent over a secure connection (SSL). If you have questions, please let us know at deamaltzchallenge@gmail.com
Gym Point of Contact
Name
First Last
Phone
Please enter as (XXX) XXX-XXXX
Email

Gym Information
Gym Name
Phone
Please enter as (XXX) XXX-XXXX
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website
Email
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