JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Let's Walk Together - Log Your Minutes
LOG YOUR ACTIVITY BELOW.
T
his allow us to celebrate the time you've dedicated to your health, AND let's you:
Earn funds for our Minutes Can Matter campaign helping Crook County residents impacted by cancer.
Increase your chances to win prizes.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
YOU MUST BE REGISTERED TO LOG MINUTES.
Register by clicking this link:
GET REGISTERED
You only have to register once and then you can walk with any group!
Already Registered?
Let's log those minutes!
First Name
*
Your answer
Last Name
*
Your answer
Phone number (include area code - no dashes required)
*
Your answer
What is the date you did the activity?
*
Your answer
What activity did you complete?
*
Walking Group
Healing Hearts Walking Event
Benefit Walk - A Time of Hope or Wetland Waddle
Other:
How Many Minutes? (numbers only)
*
10
20
30
40
Other:
How many miles did you walk? (numbers only)
*
Your answer
Tell us about your experience...
Your answer
Don't forget to hit the SUBMIT BUTTON...
Thank you for logging your minutes!
..
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
