Penticton - StepsOut Registration Page

To Register For the First Time: Pay the Penticton Community Centre your $10 fee. You will then receive a Registration #. The Registration ID is the Receipt Number you received at the Community Centre, or the Reg-E number you got by registering online. This is the only number you need for your login. You must have this number to qualify for all prizes.

Complete this form and submit it. You may choose your own Username and Password. Do not put any spaces in your user name. If you choose a user name that is already in use, you will need to choose another one.

Registration Renewal: To continue to qualify for all the prizes and support PSO pay your $5 at the Community Centre.

"Walking Buddy" Contest - if a friend recommended you to join "Steps Out", type their name in the "Other" Box below and you will both be eligable to win a prize.

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

How did you hear about our Steps Out Program? (check all that apply)
	Radio
	Newspaper
	Word of Mouth
	Recreation Brochure
	Community Centre Staff
	Other:
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