8-week Physical Activity Program
Weekly education and walk sessions held in local communities starting the week of July 12, 2026.
Name
*
First Name
Last Name
Email
Primary communication will be through email.
Phone Number
*
This number will be used by walking group leaders to inform you of time changes or cancellation due to weather or other circumstances.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
We have multiple walking groups available in Crawford County. Please select the group(s) you plan to join
*
Tuesdays, 5:00 pm at LaRiviere Park (trail walk), Prairie du Chien
Thursdays, 8:30 am at lower shelter at the Ballpark, Eastman
Thursdays, 5:30 pm at Lions Club Shelter, Gays Mills
Thursdays, 6:00 pm at St. Patrick's Church, Seneca
How would you describe your current walking level?
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Beginning walker (15 to 30 mins)
Leisure walker (30 to 45 mins)
Distance walker (45+ mins)
If t-shirts become available at no/low cost, please choose a size below. If there is a cost, you will be notified before order is placed.
*
I do not want a T-shirt
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Youth Small
Youth Medium
Youth Large
We may occasionally take pictures. Do we have your permission to use pictures and/or videos of you/your family in publications, news releases, online, and in other communications related to this program?
*
Yes
No
Informed Consent
I will participate in Crawford County on the Move. I have voluntarily enrolled in this physical activity program. I understand that participation in this program may be associated with some risks. These risks may include but are not limited to muscle soreness, fainting, disorders of heartbeat, or abnormal blood pressure. To the best of my knowledge, I do not have any limiting physical conditions or disabilities that would preclude an exercise program. I release everyone who has designed, promoted, provided space for, or conducted this walking program from all claims or liabilities whatsoever resulting from my participation in the program. I assume all risks and responsibilities for any injury, damage or any other adverse event that may result from my participation in the program. I understand and accept that this is a voluntary program designed to improve my physical well-being. To the best of my knowledge, I understand that each person may react differently to fitness activities and these reactions cannot be predicted with complete accuracy. I will inform my walking group leader and/or health care provider if I experience any unusual symptoms.
I have read and I understand the information above. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving a reason and without cost. I voluntarily agree to take part in this program.
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Submit
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