C.R.E.W. Miles Tracker Pike
MSD of Pike Township
C.R.E.W. Pledge Card
(Champions of Recreation, Exercise, and Wellness)
I pledge to focus on nutrition, self-care, and wellbeing.
I pledge to complete 20 minutes of physical activity at least 5 days a week.
* Required
Email address
*
Your email
Total miles of physical activity per week._______
*
Your answer
Name
*
Your answer
Week
*
Choose
Week 1(Oct. 4th- 10th)
Week 2(Oct. 11th-17th)
Week 3(Oct. 18th-24th)
Week 4(Oct. 25th-31st)
Week 5(Nov. 1st- 7th)
Week 6(Nov. 8th- 14th)
Week 7 (Nov. 15th- 21st)
Week 8 (Nov. 22nd- 28th)
Week 9 (Nov. 29th - Dec. 5th)
Week 10 (Dec. 6th- 12th)
Week 11 ( Dec. 13th- 19th)
Week 12 (Dec. 20th - 26th)
Week 13 ( Dec. 27th - Jan. 2nd)
Week 14 (Jan. 3rd- 9th)
Week 15 (Jan. 10th- 16th)
Week 16 (Jan.17th- 23rd)
Week 17 (Jan.24th- 30th)
Week 18 (Jan. 31st- Feb. 6th)
Week 19 ( Feb.7th - 13th)
Week 20 (Feb. 14th- 20th)
Week 21 (Feb. 21st- 27th)
Week 22 (Feb. 28th- Mar. 6th)
Week 23(Mar. 7th- 13th)
Week 24 (Mar. 14th- 20th)
Week 25 (Mar. 21st- 27th)
Week 26 (Mar. 28th- Apr. 3rd)
Week 27 (Apr. 4th- Apr 10th)
Week 28 (Apr. 11th- 17th)
Week 29 (Apr.18th- 24th)
Week 30 (Apr.25th- May 1st)
Submit
Never submit passwords through Google Forms.
This form was created inside of MSD of Pike Township.
Report Abuse
Forms