WV Walks: 30+ Minutes Daily

WV Walks Registration Form

  ** Denotes a REQUIRED field.
First name: **
Last name: **
E-mail address: **
Desired password: **
Confirm desired password: **
Address:
City:
State:
ZIP:
Age:

Are you covered by WV PEIA?
  Yes /  No **

Enter information for a new group:


NOTE: By registering a new team with this website, you are signifying that you are the team captain and will be responsible for reporting your team members' miles or minutes, unless they also register on this website as part of your team and enter their own miles or minutes.

A team ID and password will be generated for you and will be sent to you via e-mail.

Business or Organization: ** (i.e. Mylan)
Team name: **
Desired team password: **
Confirm desired team password: **

Your username and password will be sent to you via e-mail.

WV Walks is a media-based campaign promoting daily walking in north-central West Virginia. It is an eight-week program running from March 15, 2005 to May 10, 2005.