Activity Challenge Submission Form
Submit your entry for the activity challenge. Please provide accurate and complete information for your submission to be considered.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Challenge Name
*
Activity Type
*
Please Select
Running
Cycling
Swimming
Walking
Yoga
Strength Training
Other
Date of Activity
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Duration (minutes)
*
Distance (if applicable, in kilometers)
Activity Description
*
Upload Evidence (photo, screenshot, or document)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Comments or Notes
Submit Entry
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