Claim your Victory!

Claim Your Victory!

Congratulations Sister! You earned it. You completed our Jumpstart challenge by walking 21 times in 30 days. It's time to celebrate!

After completing this form, please complete the next steps found on the confirmation page to receive your Golden Shoelaces.

Note: We have phased out free T-shirts for completing Warrior Weeks. Please continue to let us know when you have completed them. We want to celebrate you!

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Contact Information

First Name Last Name

Country (Optional) Postal Code (Optional) City (Optional)

Email Mobile Phone (Optional)

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By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Text HELP for more information. Text STOP to stop receiving messages.

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(Optional)

Share Your Testimony

My GirlTrek Testimony (Enter N/A if you would not like to share a testimony at this time)

Additional Information

1. What role do you play in the movement?

2. Is this the first GirlTrek challenge you have completed?

Yes No

3. I have completed the following challenge:

4. If applicable, please note the official affiliation your crew has with any of the following. (Optional)

If walking in affiliation a with partner/organization, please tell us which one below? (Optional)

Terms

PINKY PROMISE: We work on the honor system, please certify below that you've earned the prizes being claimed on this form. Thank you.

I promise! I am so proud!
I am at least eighteen years old.
I confirm that I have written my submission. If my story includes details about anyone else, I confirm that I have permission to share such details.
I am willing to have my story shared publicly.

I declare that the information provided by me is true and accurate to the best of my knowledge.