Blair County Active Living Challenge

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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.

First Name *

Last Name *

Region

What's your zip-code?

Age *

Under 18

18-24

25-34

35-44

45-54

over 55

Required

Gender *

Male

Female

Prefer not to say

Required

Affiliation *

Type of Team

Family and Friends

School

Business

Community Orginization

Hospital

Faith Based Orginization

Social Service Agency

Other:

Clear selection

Number of Team Members

Team Name:

If you're entering as a Team

Team Leader:

optional

Next Step

Join Blair County Active Living Group on Facebook for challenge updates and community snap shots

Don't have Facebook? Keep posted for weekly e-mails on how to convert/track steps, challenge updates and community snapshots

Follow this Link

https://www.facebook.com/groups/2914655321885405/

Submit

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