- StepsOut Registration Page

Please complete the following form the join BCIT's "Walk This Way" Program. Click the group drop-down to join a group. If you don't see the name of the group you want to join, or you want to add one, contact the administrator and make a request.

Administrator: Colleen Fostvelt: email: colleen_Fostvelt@bcit.ca phone: (604) 432-8596.

* I have read and understand the PARQ
* First Name:
* Last Name:
Address:
City:
Province:
Postal Code:
Age:
Gender	Male Female
Group:
* Phone:
* E-Mail:
* Re-enter E-Mail:
* User name:
* Password:
* Re-enter Password:

How did you hear about our Program? (check all that apply)
	Radio
	Newspaper
	Word of Mouth
	Bulletin Board
	Staff Email
	Other:
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