Healthy Lifestyle Challenge Registration
Welcome to the "Healthy Lifestyle Challenge, A Year to Transform Your Life"!

This challenge is a 1-year commitment to get you headed to a healthier new you! Join your community as we work together to reach healthy weights, develop healthier eating habits, improve sleep, and more!

With this challenge you will get the support and accountability you want to keep you motivated.

Are you ready to commit and join today? If so, let's go!

Simply complete the registration information below. 

Important: All participants must be 18 years of age or older.

Please complete the following pre-registration below:

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First Name
Last Name
Address
Phone number
Email address
Date of Birth
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Race
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Ethnicity
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Are you a veteran?
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Are you participating as an Individual or Group?
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If you are participating as a group: Please list 3 other group member participants & the name of your group/team. Reminder: all participants must pre-register even if they are participating in the group category.
Why are you most interested in joining the Healthy Living Challenge?
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How did you hear about the "Healthy Living Challenge- A Year to Transform Your Life?
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Are you willing to receive emails/texts regarding updates about the challenge at the email address or number you provided?
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When needed in the past year, have you or any of your family members been unable to get or pay for any of the following (Check all that apply)
If you answered YES to any of the above, are you interested in speaking with someone that may be able to help you?
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