Service Day and 21-Day Wellness Challenge Sign Up

Thank you for wanting to participate in our Service Day, 21-Day Wellness Challenge, or even both! You are the driver of change in your local community and we are grateful that you chose to help make that change along with the Pat Tillman Foundation.

Please complete the form below to register.

Contact Information

First Name

Last Name

Phone Number

Company/Organization

Address

Address Line 1

Address Line 2

City

State

Zip/Postal Code

1. Are you signing up for the Service Day (August 12, 2023) or 21-Day Wellness Challenge (September 11 through October 3, 2023)?

Service Day21-Day Wellness ChallengeBoth

2. Are you participating as an individual or as part of a company/organization?

IndividualCompany/Organization

3. For Service Day, If you selected part of a organization, what is the name of the team/organization and how many people do you estimate will participate on your team?

4. Would you be willing to share the information regarding your community service project with the Pat Tillman Foundation through testimonials and photos?

YesNo

5. If you can, please add your social media handles (Facebook, Instagram, Twitter) below so we can follow you and share any posts you have regarding Service Day and the 21-Day Wellness Challenge.

6. Any Questions or Comments? We will do our best to respond within 3-5 business days.

Contact Information