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SportJox Membership Form Bold fields are required.

Email Address:
User Name:
Password:
Confirm Password:

Conference:
Team:
First Name:
Last Name:
Birth Date:	(Format: mm/dd/yyyy)
Gender:	Male Female
Telephone:	(Format: XXX-XXX-XXXX)
Fax:	(Format: XXX-XXX-XXXX)
Street Address:
City:
State:
Zip:
Country:
	I authorize SportJox to send me occasional emails about promotions, challenges and updates to the site.
	I authorize Third Parties to email me with special offers for SportJox members only.

	I have read and agree with the SportJox Terms of Use and Privacy Policy as well as the site's Membership Agreement.