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* 1. What is your name?

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* 2. What is your NAYGN Region?

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* 3. What is your NAYGN Chapter's name?

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* 4. What is your favorite activity to get moving and stay active for a healthier, happier you? For example, do you enjoy dancing, walking/running, skiing, biking, working out, or something else?

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* 5. Upload a picture of your favorite activity.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.