JIA Summer Adventure Bingo
Thank you for participating in the Summer Adventure Bingo activity, sponsored by Jackson in Action and Jackson County Public Health! Please complete this form for each individual who completed a BINGO! All participants will be in our prize drawing at the end of the summer!
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Participant Name  *
Participant Age *
Parent/Guardian Name (if under age 18)
Contact Email *
Phone Number
Mailing Address
Did this activity encourage you to visit somewhere new in Jackson County? *
Did you get a BINGO? *
Did you get a BLACKOUT? *
How did you find out about this activity? *
Required
How can we make this activity even better in the future?
What types of education/programming related to fitness and healthy living would you like to see from Jackson In Action?
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