Project YOU-CARE 2020 Registration Form
Complete this form to sign up for Project YOU-CARE 2020. Our Giving Partners will donate $25 to the non-profit you choose below just for signing up. Reach your goal and we'll double your donation--up to a maximum donation of $10,000 in all!
Name
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First Name
Last Name
Email
*
example@example.com
Date of Birth
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-
Month
-
Day
Year
Date
Cell Phone
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-
Area Code
Phone Number
How many times do you commit to working out online with your trainer OR at the U between Nov 30 and Dec 31? (Keep in mind that this isn't about setting records, it's about maintaining balance and self care. We encourage you to choose a reasonable, doable goal.)
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6
7
8
9
10
11
12
More than 12
To which non-profit would you like us to donate? Remember that we'll donate $25 just for registering, and another $25 when you achieve your goal! (We'll donate up to maximum of $10,000 in all!)
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A KID AGAIN: At A Kid Again, illness stops… and Adventure begins! For families raising a child with a life-threatening condition, A Kid Again fosters hope, happiness and healing. This is done by providing year-round group activities, for the entire immediate family, and are designed to take their minds off their daily challenges and focus on creating happy memories.
THE NEW ALBANY FOOD PANTRY: Their mission is to eliminate food insecurity within the NAPLSD by connecting our neighbors in need with food and other critical resources.
THE WELLBEING CONNECTION: Wellbeing Connection seeks to create a movement that will inspire compassion for mental health by connecting our New Albany community to holistic resources, education, and support. With the simple act of sharing stories, we break down barriers and start a dialogue that opens doors, connecting people to a community of support, resources, and education.
Which team member(s) encouraged you to enroll in Project YOU-CARE? Choose more than one name if multiple people helped you.
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BARB
SARAH
MOLLY
JAMES
KARYN
VIKKI
KRISTA
LYNDSI
RACHEL
PATRICK
STEPHEN
OTHER
NONE
What's your favorite holiday activity?
Working out at the U
Getting a massage at the U
Training virtually with your UU trainer
Submit
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