Step Challenge Tracking Form
Track your progress and participation in the step challenge. Please fill out all relevant details below.
Participant Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you participating as an individual or as part of a team?
*
Individual
Team
If part of a team, please enter your Team Name (leave blank if not applicable)
Challenge Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Challenge End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please enter your daily step count for each day of the challenge:
*
Rows
Steps
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
What is your daily step goal for this challenge?
*
Which device or app are you using to track your steps?
*
Please Select
Smartphone App
Fitness Tracker (e.g., Fitbit, Garmin)
Smartwatch
Pedometer
Other
Upload a screenshot or photo of your step count (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
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What motivates you to participate in this step challenge?
Have you participated in a step challenge before?
Yes
No
Any additional comments or feedback?
Submit Step Challenge Entry
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