September Step It Up Walking Challenge Sign Up
Fill out this form to participate in the September Step It Up Walking Challenge , you will receive a welcome email on August 31, 2017.
First Name
Your answer
Last Name
Your answer
Email Address (We will not share this information)
Your answer
Phone Number (We will not share this information)
Your answer
Where do you work? (Complete Name)
Your answer
How old are you?
Where did you hear about the walking challenge?
Have you participated in the Step It Up Walking Challenge Before?
Please check the box below indicating that you are aware of the dangers of an aerobic fitness event and that you have fully prepared for its rigors. Additionally, you release any sponsors of legal liability associated with the event and have independently obtained insurance. By checking the box, you also grant permission to the Bear River Health Department to use your name for any promotional or educational purpose in any and all media without limit or reservation.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Aggiemail. Report Abuse - Terms of Service - Additional Terms