Take Five Outside Challenge Event Check-in
Please fill out this form to document when you have completed any 1 of the 5 outings of the Take Five Challenge! You must complete entire form
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First Name *
Last Name *
Email *
Date you completed the outing: *
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DD
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Was this a PRAWC Event, or an outing you did on your own? *
What activity did you do (walk, bike, read, paddle, etc)? *
Which day of the week did you complete the outing? *
Where did you do the activity (which public space)? *
Which city or town was the public space in? *
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