Thank you for your interest in the 100 Miles in 100 Days Challenge. By registering below, you will be taking the first step toward better health. Something as simple as a brisk daily walk can help you live a healthier life.

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* 1. First name

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* 2. Last name

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* 3. Which MCHS center do you primarily work at?

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* 4. Which MCHS center do you primarily work at?

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* 5. What is your routing location?

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* 6. Please rate your current level of physical activity.

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* 7. What goal(s) would you like to achieve during the 100 Miles in 100 Days challenge? (Check all that apply)

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