Registration
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* This Field is required Information for: First Name : Please enter your real first name.
Information for: Middle Initial : Please enter your real middle name.
* This Field is required Information for: Last Name : Please enter your real last name.
* This Field is required Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.

Your username must be a 12 digit number representing your date of birth and the last four digits of your social security number.  Example: January 1, 1960 xxx-xxx-1234 = 010119601234 (user id).

* This Field is required Information for: Username : <p>Your username must be a 12 digit number representing your date of birth and the last four digits of your social security number.&nbsp; Example: January 1, 1960 xxx-xxx-1234 = 010119601234 (user id).</p>
* This Field is required Information for: Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required Information for: Verify Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
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* This Field is required Information for: Phone Number : <p>Enter phone number. <strong>Do not use "( )", "-", or letters!</strong></p>
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* This Field is required Information for: Enter your Trainer ID : <p>Trainer ID format YY-MA-####</p>

Please call Mid-America at 1-866-444-4412 to request an Trainer ID# .  

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Your file must be of zip,rar,doc,pdf,txt,xls,jpg,png,gif,docx,xlsx type and should exceed 0 KB, but not 5120 KB

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By uploading, you certify that you have the right to distribute this file.

Your file must be of zip,rar,doc,pdf,txt,xls,jpg,png,gif,docx,xlsx type and should exceed 0 KB, but not 5120 KB

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By uploading, you certify that you have the right to distribute this file.

Your file must be of zip,rar,doc,pdf,txt,xls,jpg,png,gif,docx,xlsx type and should exceed 0 KB, but not 5120 KB

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By uploading, you certify that you have the right to distribute this file.

Your file must be of zip,rar,doc,pdf,txt,xls,jpg,png,gif,docx,xlsx type and should exceed 0 KB, but not 5120 KB

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By uploading, you certify that you have the right to distribute this file.

 
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