Registration Your login name will be created automatically as your first name plus your last name plus the last 4 digits of your phone number. For example: Jenny Smith's phone number is 867-5309. Her login name would be jennysmith5309. First Name: Last Name: Last 4 digits of phone number: 4 digit number (to be used as password): Email: retype Email: Gender: femalemale Age Group: < 1818-29 30-3940-4950-59> 60 Ethnicity: African AmericanAsianCaucasianHispanicNative AmericanOther Address Line 1: Address Line 2 (if applicable): City: State: SCNCGAOther Zip Phone: Height (feet) (inches) Personal Weight Goal Group / Company (optional): (optional) create new group SCACOG Wellness Works Alpha Kappa Alpha Sorority BB&T BOTM Bride/Bridesmaid To-Be Brutontown Community Center Cryovac DSI Earth Fare Elite Physical Therapy Furman Faculty and Staff GHS - Greenville Hospital System Greenville County Disabilities and Special Needs Greenville County DSS Greenville County Employees Greenville County Schools Greenville Dmv23 GSATC Gym Fit at GGTC Hidden Treasure HIS Radio 89.3 Rob's Big Losers HIS Radio 89.3 Rob's Big Losers Caine Halter HIS Radio 89.3 Rob's Big Losers Eastside HIS Radio 89.3 Rob's Big Losers George I. Theisen HIS Radio 89.3 Rob's Big Losers Golden Strip Jacobs Engineering Level One United Lockheed Martin Maine Event Sports Barbers Shop Mitsubishi Nutra Manufacturing SC DHEC Region 2 self motivators Sterling Community Center team new vision TR Family Practice Family and Friends Travelers Rest Family Practice Employees Verizon Business Cary Verizon Business Richardson Verizon Wireless Alpharetta Verizon Wireless Franklin Verizon Wireless Greenville Verizon Wireless South Lake Verizon Wireless Tampa Virginia College Woodson Family World Acceptance Corporation YMCA Members YMCA of Greenville Staff (Please check to see if your group, business, or organization is participating. You can also join later by updating your profile.) Team (optional): (optional) create new team 2010 Begin Again Agape Sisters Day Programs Eastside Lunch Run FYI Staff GIT YMCA Team GMV YMCA Greenville Drive Baseball Healthy Weigh 4 Life HIS Radio 89.3 Rob's Big Losers Human Resources Kobe vs Lebron MDC Metro NG YMCA Morning Team Plan B Prostar 2010 Roadies Strange team team new vision Team Weathers Twin Oaks Woodson Family (Please check to see if your team is participating. You can also join later by updating your profile.) In addition to joining Activate South Carolina, you also have the opportunity to take part in a project to determine Activate South Carolina’s impact on body mass index and physical activity participation. Taking part in this project simply allows anonymous use of the information you enter on the Activate South Carolina website. There are no known risks for taking part in this study. Your participation is completely voluntary and in no way impacts your participation in Activate South Carolina. You have the right to withdraw from the study at any time without penalty. If you have any questions about this study, you may contact Dr. Alicia Powers of the Health and Exercise Science Department at Furman University (E-mail: alicia.powers@furman.edu; Phone: 864-294-3224). We are eager to have everyone participate in this project; however, if you do not wish to participate, please indicate below. I do want to participate in the project described above. I do not want to participate in the project described above, but understand I can still participate in Activate South Carolina. In submitting my entry, I for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have now or hereafter arising against the YMCA of Greenville, Greenville Hospital System, and Furman University, other YMCAs of South Carolina, North Carolina, and Georgia, and all sponsors and their employees, officers, directors, principals, agents, representatives, successors, and assigns, including but not limited to any and all claims of damages, injuries, demands, actions whatsoever, however they may occur, arising as a result of my participation directly or indirectly in said YMCA of Greenville programs. Furthermore, I hereby grant full permission to any and all of the foregoing to use my name, my voice, and/or picture in any broadcasts, telecasts, advertising, promotion or other account of this event for any purposes whatsoever without thought of remuneration. If under 18, parent’s signature required. I agree to the terms specified in the waiver
Your login name will be created automatically as your first name plus your last name plus the last 4 digits of your phone number.
For example: Jenny Smith's phone number is 867-5309. Her login name would be jennysmith5309.