April 5—May 30 Fax: 615-597-1421

Home , May 30

I wish to participate voluntarily in the Walk Across Tennessee physical activity for the purpose of personal fitness. I understand that I should have medical approval from my health care profession- al if I have:

 chronic health problems like heart diseases or diabetes Monday, April 5 ~~ WAT Kick Off  pain in the heart/or chest area 5:30 PM at Green Brook Park a bone or joint condition like arthritis, that could be worsened (Smithville) by the physical activity  been told by a doctor I have high 6:30 at Alexandria Park blood pressure  Any physical conditions or problems (behind fairgrounds) that might require special attention

during physical activity  If I am a man over 45 or a woman over 50 and not accustom to WIN PRIZES! vigorous exercise Monday, April 5~~ Start exercising

Sunday, May 30 ~~Last Day exercise Tuesday, June 2~~Team captains turn I agree to accept full responsibility for any injuries I may sustain while participating in this program. in final mileage to April Martin fax (615-

I also understand that Walk Across Tennessee mile- 597-1421), or email [email protected]) age only includes designated exercise time. I will Saturday, June 12~~Awards, Saturday, only calculate my mileage during my active exercise time. I also agree to follow the rules included 10:00 a.m. Green Brook Park in the Team Captain packet and realize I can be disqualified from the contest if they are not followed.

722 S. Congress Blvd. Signature Date Phone: 615-597-4945 April 5—May 30 Fax: 615-597-1421 http://dekalb.tennessee.edu

Individual Registration Form Walk Across Tennessee can give you and Name:______your friends, co-workers, family etc. the jump Please turn in this registration form on or start you need to healthier living. Competition before this day to your team captain. Team Team:______also gets motivation going too. totals will be placed on a map at shelter #1 each week at Greenbrook Park. We will also Address:______For eight weeks, teams of up to eight will notify through email and the Walk Across Phone Number______work together to walk the 500 miles it would Tennessee DeKalb Facebook page. take to walk all the way across Tennessee. Age______Gender______

Other types of exercise are encouraged also.

An exercise conversion chart is included in the registration packet. Whatever exercise you  Stronger Legs & Toner Arms choose, it must intentional exercise (not just  Lower Blood Pressure wearing a pedometer all day) and get your  Calmer attitude and happier days heart rate up for at least 15—20 minutes. The  More energy Kick-off will be held at Green Brook Park on team to log the most miles will win a rotating  Enjoying quality time by yourself or with Monday, April 5, 5:30 PM followed by the trophy and other prizes! There will also be a walking buddy Alexandria Park (behind fairgrounds) at 6:30 team prizes for weekly challenges.  Raise metabolism. pm. A captain should be chosen for each  Exercise lessens munchies eating team. Team captains, please turn in this regis- Kick-off will be held at the Green Brook  Gaining Muscle & Most Importantly tration form for each team member before or Park in Smithville on Monday, April 5 at at the Kick off. Attendance is not required, but 5:30 PM followed by Alexandria Park at encouraged. Please give your form to your 6:30 pm. team captain who will turn this in. If you choose to do the FREE blood pres- Don’t forget to join the sure screening, we recommend you come Walk Across Tennessee early or stay afterwards.