Marshall County Walk Across Tennessee Individual Registration Form
Each team member should complete this form.

Walk Across Tennessee is a team-based walking challenge that will run for 6 weeks. The primary team goal is to walk the mileage equivalent of the length of Tennessee, around 500 miles.

Your information is confidential and used only for the purpose of this program.

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First Name: *
Last Name: *
Email Address (this will be the primary form of communication throughout the program): *
Are you registering as an individual participant or as part of a team? *
Team Captain Name:
Team Name:
Gender:
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Ethnic Background:
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Why are you participating? Select all that apply. *
Required
I wish to participate voluntarily in the Walk Across Tennessee program for the purpose of physical activity. I understand that I should have medical approval from my health care professional if I: have any chronic health problems (such as heart disease or diabetes); have pains in my heart and/or chest areas; have a bone or joint condition, like arthritis, that might be made worse by an exercise program; have been told by a doctor that I have high blood pressure; have any physical conditions or problems that might require special attention in an exercise program; am a male over 45 or a female over 50 and not accustomed to vigorous exercise. *
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