Join the Healthy Man Walking Challenge

This is your invitation to stop waiting and start walking. No matter where your health is today, you can begin moving toward a stronger, healthier future.

• Commit to 100 days.
• Make the 5 commitments.
• Log your progress once a week.
• Encourage another man to join you.

After you submit this form, your information can be sent to your future registration system (for now this is a sample front-end form).

Registration Form

Full Name *

Email Address *

City

State

Organization (optional)

How are you joining?

As an individual
As part of a group/organization

Which commitments are you ready to make? (You should agree to all 5 to complete the challenge.)

Doctor visit & blood work
1,000,000 steps in 100 days
Watch 5 health documentaries
Cook 1 healthy meal per week
Drink 8 glasses of water per day

What are your top health goals?

I understand this challenge does not replace medical advice and I will consult my doctor before starting.