April's 21-Day Walking Challenge - Sign Up Form
Complete the form below if you plan to participate in April's 21-Day Walking Challenge! By signing up you are committing to a 15-minute (preferably outside) walk per day for 21 days!

START DATE: April 1, 2021 ... END DATE: April 21st, 2021
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First & Last Name *
Address: *
Phone # *
Email Address: *
Preferred Method of Communication for Daily Check-In: *
My financial commitment ... *whatever you can afford is enough. If you can't afford anything right now but you still want to be a part of this challenge, that's fine too.* *
My charity of choice ... *
Please select ONE of the following ... *
Questions / concerns I still have ...
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