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Keep Moving Calloway
The Keep Moving Challenge is designed to help participants progressively increase their distance moved each week during the challenge period running February 13 - April 21, 2017. This form is used for the purpose of recording the distance moved each week. Please contact Susan Burkeen at 270.762.1837 (
msburkeen@murrayhospital.org
) or Nicole Hudson at 270.762.1832 (
anhudson@murrayhospital.org
) with any questions.
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Today's Date
*
MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
Business Name
*
Your answer
Email Address
*
Your answer
I am submitting information for the following week:
*
February 13 - 18
February 19 - 25
February 26 - March 4
March 5 - 11
March 12 - 18
March 19 - 25
March 26 - April 1
April 2 - 8
April 9 - 15
April 16 - 21
Type of movement (running, walking, etc.)
*
Your answer
Distance this week (in miles):
Your answer
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