JP Fitness

First Name ^* Please enter first name

Last Name ^* Please enter last name

Email ^* Please enter valid email

Gender (Identify As) ^*

Male

Female

Birthdate ^* Please enter your birth date

Weight ^*

Height ^*

Password ^*

Your password must be at least 6 characters and contain all of the following types of characters: Letters, Numbers, Special Characters (i.e. ! @ # $ % etc.)

Confirm Password ^*

Password does not match

Occupational Activity Level ^*

Minimal Activity - Little to no movement during a typical day. (ex: Desk job, therapist, etc.)

Light Activity - Standing a large portion of the day. (ex: Cashier, salesperson, etc.)

Moderate Activity - Standing and walking most of the day. (ex: Retail, stay at home parent, etc.)

Heavy Activity - Lifting heavy objects frequently during the day. (ex: Construction, warehouse worker, etc.)

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