JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RESET Challenge Registration
Everyone in the challenge gets a free FitKit, which includes a resistance band and other goodies.
One form completion per person participating in the Reset Challenge.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Cell Phone
By providing your cellphone number, you're agreeing to receive text messages related to the RESET Challenge
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
(If applicable) Please enter your referral code
You can create your own referral code and share it with anyone you get to sign up! For example, ABC Corp can use the code "ABC" to track how many employees register.
Your answer
Are you a YMCA member?
*
Yes
No
Next
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
