Step It Up Walking Challenge!
First Name
Your answer
Last Name
Your answer
Email Address (we will not share this information)
Your answer
Phone Number (we will not share this information)
Your answer
Where do you work?
Your answer
How old are you?
Where did you hear about the walking challenge?
Please check the box below indicating that you are aware of the dangers of an aerobic fitness event and that you have fully prepared for its rigors. Additionally, you release any sponsors of legal liability associated with the event and have independently obtained insurance. By checking the box, you also grant permission to the Bear River Health Department to use your name for any promotional or educational purpose in any and all media without limit or reservation.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms