{"id":39,"date":"2015-12-06T22:39:13","date_gmt":"2015-12-07T05:39:13","guid":{"rendered":"http:\/\/deamaltzchallenge.com\/?page_id=39"},"modified":"2025-02-19T23:04:24","modified_gmt":"2025-02-20T06:04:24","slug":"registration","status":"publish","type":"page","link":"https:\/\/maltzchallenge.com\/index.php\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' ><div id='gf_7' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span 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id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_7_10\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_10\"><h3 class=\"gsection_title\">Participate Information<\/h3><\/div><fieldset id=\"field_7_1\"  class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_1\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_1'>\n                            \n                            <span id='input_7_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                   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gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_4\"><legend class='gfield_label gform-field-label'  >Email<\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_7_4_container'>\n                                <span id='input_7_4_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_4' id='input_7_4' value=''     aria-invalid=\"false\"  \/>\n                                    <label for='input_7_4' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_7_4_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_4_2' id='input_7_4_2' value=''     aria-invalid=\"false\"  \/>\n         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gfield_visibility_visible\"  data-js-reload=\"field_7_2\"><label class='gfield_label gform-field-label' for='input_7_2' >Age<\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_7_2' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_7_3\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_3\"><label class='gfield_label gform-field-label' for='input_7_3' >Gender<\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_7_3' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Male' >Male<\/option><option value='Female' >Female<\/option><option value='Prefer Not To Disclose' >Prefer Not To Disclose<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_7_11' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"2\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"2\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_2' class='gform_page' data-js='page-field-id-11' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_7_6\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_6\"><h3 class=\"gsection_title\">Challenge Information<\/h3><\/div><div id=\"field_7_7\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_7\"><label class='gfield_label gform-field-label' for='input_7_7' >Where will you be participating at?<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_7_7' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_7_8\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_8\"><label class='gfield_label gform-field-label' for='input_7_8' >City and State of location:<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_7_8' type='text' value='' class='medium'  aria-describedby=\"gfield_description_7_8\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_7_8'>example: Centennial, Colorado<\/div><\/div><div id=\"field_7_13\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_13\"><label class='gfield_label gform-field-label' for='input_7_13' >If Applicable: Which Agency?<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_7_13' type='text' value='' class='medium'  aria-describedby=\"gfield_description_7_13\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_7_13'>example: DEA, FBI, Local PD, Crossfit Gym<\/div><\/div><div id=\"field_7_9\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_9\"><label class='gfield_label gform-field-label' for='input_7_9' >If Applicable: Which Military Branch?<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_7_9' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_7_14\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_14\"><label class='gfield_label gform-field-label' for='input_7_14' >If Applicable: Civilian?<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_7_14' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_7_15\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_15\"><label class='gfield_label gform-field-label' for='input_7_15' >Estimated Finish Time<\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_7_15' class='medium gfield_select'     aria-invalid=\"false\" ><option value='under 30 mins' >under 30 mins<\/option><option value='30 - 40 mins' >30 - 40 mins<\/option><option value='40 - 50 mins' >40 - 50 mins<\/option><option value='50+ mins' >50+ mins<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_7_16' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"1\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"1\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_7_16' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"3\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"3\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_3' class='gform_page' data-js='page-field-id-16' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_7_17\"  class=\"gfield gfield--type-section gsection BOLD field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_17\"><h3 class=\"gsection_title\">Waiver and Release<\/h3><div class='gsection_description' id='gfield_description_7_17'>The Maltz Challenge honors the memory of an American airman who made the ultimate sacri\u2002ce in the defense of this nation.\nMichael Maltz prided himself on his physical and mental preparation. In his memory, the Challenge is a series of physically\ndemanding tests of a person\u2019s condition, stamina and mental preparation. The Challenge is neither meant nor designed to be\neasy. To the contrary, the Challenge is structured to push participants to levels of exertion and endurance far beyond normal\nexpectations.\nParticipants in the Challenge must approach the event with appropriate caution and due regard for their own safety and welfare.\nPhysical conditioning and preparation is a must, and a participant must ensure that he or she is medically eligible to undergo the\nrigorous stations which comprise the Challenge.\nNo medical examination of any participant will be conducted and no qualifying tests will be administered to any participant\nbefore their entry into the Challenge. Only you know whether you are prepared to participate, and only you can make the\ndecision to accept the challenge or not. And during the Challenge, a participant may stop at any time and should do so if they\nbelieve they are becoming ill or have been injured.\nThe persons who organize and staff the Challenge are uncompensated volunteers. By entering into and participating in the\nMaltz Challenge, you accept and understand the physical and\/or mental risks you are voluntarily submitting yourself to. Through\nyour participation, you acknowledge and understand that you may suffer a minor or mild injury or you may incur a substantive\ninjury or harm of a permanent nature. Those who organize and staff the event make no representation or guarantee that you will\nnot be injured or harmed in any manner while participating in the Challenge or preparing for it.\nBy signing this waiver and release, (1) you acknowledge these risks and the potential harms you may face, (2), you agree to\nhold the organizers of the event and the volunteers who staff it harmless for any injuries or harms that might directly or\nindirectly result from your participation regardless of their severity, (3) you agree to indemnify all individuals associated with the\nChallenge from any suit arising from or related to any injury or harm you may suffer, and (4) you further agree to bind your heirs,\nassigns, and\/or family members to this agreement as well.<\/div><\/div><fieldset id=\"field_7_18\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_18\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >I<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_18'>\n                            \n                            <span id='input_7_18_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_18.3' id='input_7_18_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_7_18_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_7_18_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_18.6' id='input_7_18_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_7_18_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_7_19\"  class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_19\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Agree to the waiver and release which, I have read above and will not hold the Maltz Challenge or DEA liability for anything that may happen to me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_19.1' id='input_7_19_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_7_19_1' >I agree to the waiver and release and I have fully read and understand it.<\/label><input type='hidden' name='input_19.2' value='I agree to the waiver and release and I have fully read and understand it.' class='gform_hidden' \/><input type='hidden' name='input_19.3' value='6' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_7_20\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_20\"><label class='gfield_label gform-field-label' for='input_7_20' >Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_20' id='input_7_20' type='text' value='09\/21\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_7_20_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_7_20_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_7_20' class='gform_hidden' value='https:\/\/maltzchallenge.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_7_22\"  class=\"gfield gfield--type-captcha field_sublabel_below 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