Walk-n-Roll Skagit County

Take the Walk-n-Roll challenge on Friday, May 19, 2006 by walking or biking to work. By adding physical activity into your daily life you can gain tremendous health benefits and be eligible to win great prizes.

NO PREREGISTRATION IS NECESSARY. To register your participation return to this page between May 19th and May 28th, 2006 to complete the online registration form or click here to download the Walk-n-Roll entry form (pdf) and fax (360-428-8222) or mail in your registration. Complete the Entry Form below to participate.

Name:  
 
Street Address:
 
City:
 
Zip:
 
Day Phone:
 
Email Address:
 
Individual   Worksite
 
Worksite Name:
 
Total Miles Commuted*
(Round trip)
 
*Mode of
Transportation
 
  * Acceptable modes of transportation include bike, walk, skate and skateboard.
 
Did you participate in an organized walk or bike ride? Yes     No
 
If yes, where did you depart from?
 
How did you hear about Walk -n- Roll?
 
Additional Comments:
 
One submission per person please. Upon submission you will receive a Walk-n-Roll evaluation form. Complete and submit the evaluation by June 16th and you will be entered in a prize drawing for $25 cash.