5-2-1-0 Prize

backpack

Thank you for completing the Healthiest State Month Trail Map challenge!

If you need to download and print your challenge map, please click here.

Please complete the form below to claim your 5-2-1-0 drawstring backpack! Quantities limited to first 100 submissions.

All fields marked with * are required.

First & Last Name *

Email (can be parent email) *

Retype Email *

Age *

City *

Please upload an image of your completed Healthiest State Month Trail Map. *

How did you hear about the Healthiest State Month Trail Map? *

By submitting this form, you will also be signed up to receive future email newsletters from the Healthiest State Initiative.