Step/Activity Challenge - Team Submission
Submit your steps/activity to earn Go! Garrett County Prize Points! (Don't have a Go! Garrett County account? Register at: https://gogarrettcounty.com/register)

Notes: Not medical advice, please consult your primary care provider before starting any new program. This is a public health education program/challenge, and results may be publicly posted, used in grant reports, or otherwise calculated.

Submission Date*

Submission Date*

Team Name / Organization Name / Business Name*

Team Name / Organization Name / Business Name*

Team Leader Name*

Team Leader Name*

Team Leader Number of Steps/Activity Seconds (Last Monday Thru Last Sunday)*

Team Leader Number of Steps/Activity Seconds (Last Monday Thru Last Sunday)*

Team Leader Email*

Team Leader Email*

Zip Code*

Zip Code*

Team Member #2 Name

Team Member #2 Name

Team Member #2 Steps/Activity

Team Member #2 Steps/Activity

Team Member #3 Name

Team Member #3 Name

Team Member #3 Steps/Activity

Team Member #3 Steps/Activity

Team Member #4 Name

Team Member #4 Name

Team Member #4 Steps/Activity

Team Member #4 Steps/Activity

Team Member #5 Name

Team Member #5 Name

Team Member #5 Steps/Activity

Team Member #5 Steps/Activity

Team Member #6 Name

Team Member #6 Name

Team Member #6 Steps/Activity

Team Member #6 Steps/Activity

Team Member #7 Name

Team Member #7 Name

Team Member #7 Steps/Activity

Team Member #7 Steps/Activity

Team Member #8 Name

Team Member #8 Name

Team Member #8 Steps/Activity

Team Member #8 Steps/Activity

Team Member #9 Name

Team Member #9 Name

Team Member #9 Steps/Activity

Team Member #9 Steps/Activity

Team Member #10 Name

Team Member #10 Name

Team Member #10 Steps/Activity

Team Member #10 Steps/Activity

If this is your first time participating in this challenge, who referred you?

If this is your first time participating in this challenge, who referred you?

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