Walk Across Arkansas Fall 2017

September 17 - November 11

Individual Registration

Required Field
County*
When using autofill, the county will default to Arkansas. Make sure the right county is selected.
Team Name:*
First Name:*
Last Name: *
Team Captain:
Street Address:
City:
Zip Code:
E-mail:
Phone:
   

Gender:
Male
Female

Extension Employee:
Yes
No

Age:
<18
19-29
30-39
40-49
50-59
60-69
70-79
80-89
90+

Ethnic Background:
African-American
Asian
Caucasian
Hispanic
Native American
Other

Physical Status:
I do not participate in physical activity, and don't plan to start in the near future
I do not participate in physical activity, but I have been thinking about starting
I am trying to participate in the near future
I currently participate in some physical activity. less than 3 days per week
I currently participate in physical activity regularly (5 or more days a week), but have only been doing it for the last 1 to 6 months
I currently participate in physical activity regularly (5 or more days a week), and have done so for 7 months or longer

Personal Goal:
Reach 150 minutes of exercise per week (CDC guidelines for adults)
Reach 300+ minutes of exercise per week
Add more intensity to my exercise
Other

I should have medical approval from my healthcare professional if I:
have any chronic health problems such as heart disease or diabetes
have been told by a doctor that I have high blood pressure
have pains in my heart and/or chest area
have any physical conditions or problems that might require special attention in an exercise program
feel dizzy or have spells of severe dizziness
have a bone or joint condition, like arthritis, that might worsen by an exercise not accustomed to vigorous exercise program
am a male over 45 or a female over 50