Name: Age:
On the average I exercise ____ days per week I usually get my exercise by: ____ Running _____ miles ____ Walking _____ miles ____ Attending an exercise class that is ______ long ____ Working out to videos for _____ minutes/hours
I consider myself (choose one) ____Very out of shape ____Somewhat out of shape ____ Fairly fit, but can use some improvement ____Physically fit, but in need of incentive to stay that way
My goal in committing to this contest is to‌.
Are you willing to be a team captain? ______________________