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Fontana Walks Steps Per Week
This form has been modified since it was saved. Please review all fields before submitting.
First Name
*
Last Name
*
Phone Number
*
Email
*
Week of
-- Select One --
11/28/20 to 12/04/20
12/05/20 to 12/11/20
12/12/20 to 12/18/20
12/19/20 to 12/25/20
12/26/20 to 01/01/21
01/02/21 to 01/08/21
01/09/21 to 01/15/21
01/16/21 to 01/22/21
01/23/21 to 01/29/21
01/30/21 to 02/05/21
Enter total steps per day below:
Saturday
*
Sunday
*
Monday
*
Tuesday
*
Wednesday
*
Thursday
*
Friday
*
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