Ballantyne Families Helping Neighbors in Need

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FIT21 Fitness Challenge

Email *

FIT21 Challenge Registration Form

Please complete the following information to register for our FIT21 Fundraiser!

Throughout the month of January each participant pledges to complete 21 fitness activities. Examples include, but are not limited to, walk 21 miles, bike 21 miles, exercise 21 days in a row, etc. Get your friends and family to sponsor you! Collect a flat donation or amount per completed activity!

Raise $100 or more to be a Fitness Champion! Your donation provides food support for families in February. You receive a thank you T-shirt made possible by our FIT21 sponsors in 1-2 weeks.

NOTE: A form should be completed for EACH person participanting in the fundraiser. Please do not log information for multiple participants on the same form.

First Name *

Last Name *

Street Address *

City, State, Zip *

Please Indicate Your T-Shirt Size

Youth

Adult

XXL or XXXL

I don't want a T-shirt

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