A Mile In Their Shoes Walk-A-Thon Log

A Mile In Their Shoes Walk-A-Thon

Activity Log
If you are at a specific event where a QR Code has been provided for you to scan, please scan here!
Your Full name*

First NameLast Name
Your Email*
example@example.com
Date of Activity*

MonthDayYear
Date
Activity Image

Please submit the relevant image for your activity, either as described in the Walk-A-Thon instructions or on the QR Code you scanned.
File Upload*

Cancelof
Activity Comment

Please submit an appropriate comment for your activity, either as described in the Walk-A-Thon instructions or on the QR code you scanned.
If this submission is for one of the Walk-A-Thon organized activities please take a moment to rate and use the box below to provide any feedback that you have about the event.
Keystone Wellness is a Montana Non-Profit focused on promoting wellness and restoring balance one person, one relationship, one group and one community at a time. Keystone wellness is in the process of applying for 501(c)3 status with the IRS.

Information submitted on this form will be used to calculate point totals for the Walk A Mile In Their Shoes Walk-A-Thon" Keystone Wellness will not use information from this form for any other purpose unless you have given your permission for us to use quotes from your form submissions in our marketing materials in your Walk-A-Thon enrollment.

If you have any questions about this or any other component of the Keystone Wellness Walk A Mile In Their Shoes Walk-A-Thon please contact us at activities@keystonewellnessmt.org or 406-422-0762.
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A Mile In Their Shoes Walk-A-Thon

Activity Image

Activity Comment