This form is where you track all of the activities that you complete in November. Every activity you complete earns you a ballot to win a gift card to a business that supports your physical or mental wellbeing! You can track them here all at once or after each activity.

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* 1. Check off the activities that you have completed.

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* 2. What is your name?

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* 3. What is the phone number, email address or social media account that you would like us to contact you at if you win a prize?

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