Push-Up Challenge 2023

Forward Motion Life Success' February 2023 Push-Up Challenge Registration Form

All Pledges will go to the Dorna Titus Future Leaders Scholarship
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
What is the number of Full or Modified Push-Ups you will start doing daily?*
Would you like to OPT-OUT of having your pictures or videos being posted on social media to promote the Push-Up Challenge.*

Yes, do not post my pictures or videos on social media.No, you can post my pictures or videos on social media.
I understand that I am expected to complete the above amount of push-ups daily, for the month of February 2023. I also agree to obtain sponsor pledges of at least $1 for each day I complete. I agree to provide sponsor information and relay the total amount of push-ups completed to FMLS, Inc. and sponsors. I will notify sponsors that their pledge is due by March 15, 2023, and provide the various methods of payment.*

AgreeDisagree
The Push-Up Challenge runs from February 1, 2023 through February 28, 2023.

Once the registration form is filled out and submitted, each registrant will receive a Sponsor Sign-up Sheet via email to obtain pledges.

A copy of the completed Sponsor Sign-up sheet must be turned in/emailed back to forwardmotionlifesuccess@gmail.com, by January 31, 2023.

If you have questions or need additional information, visit www.fmls1.com, or send an email to forwardmotionlifesuccess@gmail.com or call: 646-389-4411
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Forward Motion Life Success' February 2023 Push-Up Challenge Registration Form