Registration - Rejuvenation Olympics

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Home
About Us
Science
Leaderboards
- Relative Change Leaderboard
- Absolute Leaderboard
Forum
Account
- Submit Information
Logout
Register
Login

Registration

Register to Compete

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Name*

First Name Last Name

Name Visibility*

Do you prefer to be visible with your first and last name or by a custom username?

Custom Username*

Email*

Enter Email Confirm Email

Password*

Enter Password Confirm Password

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Choose an Avatar*

Upload Avatar*

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Accepted file types: jpg, jpeg, png, Max. file size: 50 MB, Max. files: 1.

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DOB*

DD slash MM slash YYYY

Sex*

Ethnicity*

Chronological Age*

Address*

ZIP / Postal Code Country

Have you previously taken any TruDiagnostic tests?*

Please enter your TruDiagnostic Test ID Numbers

Participation Consent*

I acknowledge that all data provided is accurate to the best of my knowledge. I understand that the accuracy of the data provided can affect the results of the competition and corresponding study. I agree to allow Rejuvenation Olympics and its affiliated companies to share the provided data publicly for the sake of the competition except for specific data points where the corresponding consent was not granted.

Signature

Phone

This field is for validation purposes and should be left unchanged.

Newsletter

Email

BECOME A

Rejuvenation Olympian

AND BE IN THE KNOW!

FIRST NAME

LAST NAME

EMAIL

NUMBER