Blair County Active Living Challenge
You're one step closer to start your journey to a healthier you! Please take a moment to fill out this form to register for the Blair County Active Living challenge. If you have any questions, concerns, or suggestions feel free to share those with Healthy Blair Coalition and Let's Move Blair County Committee, info@healthyblaircountycoalition.org
E-mail *
Use an e-mail that's active. You will receive a weekly login forums during the challenge to report your steps.
Your answer
First Name *
Your answer
Last Name *
Your answer
Region
What's your zip-code?
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Age *
Gender *
Affiliation *
Type of Team
Number of Team Members
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Team Name:
If you're entering as a Team
Your answer
Team Leader:
optional
Your answer
Next Step
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