Maintain Don't Gain 2020
UT-TSU Healthy Holiday Program
Challenge Begin Date: November 23, 2020
Challenge End Date: January 4, 2021
Questions? Contact your local UT-TSU Extension Office
First Name *
Last Name *
Personal email address. (Most correspondence will be delivered by email. Please do not use work emails especially if your company filters out emails. Please check junk or spam if you do not receive an email by the week before challenge start date.) *
Mailing Address *
Phone Number *
County *
If you marked other to the County questions please let us know where you are from.
Gender *
Race *
*
How did you hear about the challenge? Please list specifics (company name, agent email, social media group, local news outlet or other referral person/place). *
What is one thing you hope to gain by joining the challenge? *
By checking the box below, I understand that the challenge begins on November 23, 2020 and ends on January 4, 2021, and I agree to accept full responsibility for any injuries I may sustain while participating in this program and hold harmless all Sponsoring Parties, to include the University of Tennessee Extension. *
Required
If you have any questions or comments, please use this space.
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