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FORM L-014: KOPS REGISTRATION

FORM L-014: KOPS REGISTRATION 2025

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The document is a registration form for the KOPS (Keep Off Pounds Sensibly) program by TOPS Club, Inc. It requires personal information, weight history, and goal details from members seeking to register or update their status. Members must submit the form along with a goal slip signed by a healthcare professional and a current weight chart to the Coordinator.

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Click ‘Get Form’ to open FORM L-014 in the editor.
Begin by entering the 'Date' at the top of the form. This is essential for record-keeping.
Fill in your personal information, including 'Name', 'Street Address or PO Box', 'City', 'State or Prov', and 'Zip/Postal Code'.
Provide your TOPS membership number and renewal date to ensure your registration is up-to-date.
Indicate your gender and age category (Female, Male, Preteen, Teen) along with your birthdate.
Complete the section regarding your highest weight recorded at TOPS Club, Inc., and attach any necessary goal slips as required.
Select the appropriate box that applies to you: NEW/First, Goal Change, or Reinstating. Fill in relevant details based on your selection.
Sign the form where indicated for both member and weight recorder signatures before submitting it to the Coordinator.

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FORM L-014: KOPS REGISTRATION 2025

Here's how it works

How to use or fill out FORM L-014: KOPS REGISTRATION with our platform

See more FORM L-014: KOPS REGISTRATION versions

Complete this form in 5 minutes or less

Got questions?

What is a volunteer registry?

What is Form 637 application for registration for certain excise tax activities?

What should be on a volunteer form?

What is the purpose of a registration form?

What is a volunteer registration form?

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What is a volunteer form?

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