2023 Community Well-Being Challenge Registration
Welcome to the FREE community-wide challenge to thrive! The Challenge is open to everyone. Please complete one registration form per family member.

Starting April 3rd

Register at any time and complete six well-being activities hosted by Thrive Umpqua and our community partners by December 31, 2023! A list of qualifying well-being activities is available on our website at www.thriveumpqua.com and will be shared periodically via email, text messages and social media throughout the Challenge. 

Participants will: 
-Receive a free Thrive Umpqua t-shirt
-Be eligible to win monthly prizes and enter to win GRAND prizes at the end of the challenge 
Sign in to Google to save your progress. Learn more
First and Last Name  *
Phone Number (Optional)
We'll text you up to 3 times throughout the Challenge with important updates. 
Email  
This will be how you are contacted with important challenge details and if you win prizes. Please double check accuracy before submitting.
*
Zip Code *
Worksite/School/Faith-Based Organization (if applicable) *
Race/Ethnicity *
Required
Age Group
Clear selection
T-Shirt Size 
(Everyone who registers receives a free Thrive Umpqua t-shirt!)
Clear selection
Which of the following free well-being activities would you be interested in participating in throughout the Challenge? Check all that apply.
(We will send you occasional reminders when these events are coming up!) 
How did you hear about this Challenge? *
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