Now is your chance to CONNECT with Balanced Man.  Simply complete this short online connection form, you will be in the know and up-to-date on everything related to Balanced Man.  We will send you frequent communciations packed full of important information about meetings, actitivities, and retreats. 

All of your information is private and we never share our list with anyone else. 

 

 

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Name *
E-mail Address *
Street Address *
City *
State *
Zip
Cell Phone (xxx-xxx-xxxx)
Can you recieve text messages?
Birthdate (MM/DD/YYYY) *
Anniversary Date (MM/DD/YYYY)
Martial Status *
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Do you like to watch sporting events on TV? If yes, please specify one or more below.
Football
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What sports interests do you have?
Softball
Basketball
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Weightlifting
Running
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Other sport interest?
What leisure activities are you interested in?
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Rock climbing
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Kayaking
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Video games
Fishing
Fly fishing
Other leisure activity interest?

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