On The Move Registration Form

It's for Everyone in 2014!

Choose a Membership

My Exercise Goal - Everyone sets physical activity goal

I am currently doing minutes of physical activity a week.
My exercise goal is minutes of physical activity a week.

Contact Information

Waiver In consideration of your accepting this entry, I hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the organizations holding this event, their agents, representatives, successors and assignees, for any and all injuries sustained by me at said event. Clicking submit indicates that you agree.

I do not want my picture to appear in any on the move publications, including website, poster & news print. If I don't check this box on the move may use your picture in the above media.

Sponsored by the Barnes on the move Partnership
North Dakota Cancer Coalition

Cost: $0