Full Name:
Department:	Select Department Administrative Support City Manager's Office Council Office Courts Economic Development Engineering Finance Fire Department Human Resources Information Systems Planning & Development Police Department Parks, Recreation & Cultural Arts Public Service Vehicle Maintenance Volunteer Office
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Please indicate type of activity and duration. Be sure to total your points.
Type of Activity Duration (in minutes) Screening Type Points (total points) Select Activity Cardio Exercise Strength Training Cardio & Strength Training Group Exercise Walking Sports Activities Active-Rest Activities Lecture Screenings Select Activity Cardio Exercise Strength Training Cardio & Strength Training Group Exercise Walking Sports Activities Active-Rest Activities Lecture Screenings Select Activity Cardio Exercise Strength Training Cardio & Strength Training Group Exercise Walking Sports Activities Active-Rest Activities Lecture Screenings Select Activity Cardio Exercise Strength Training Cardio & Strength Training Group Exercise Walking Sports Activities Active-Rest Activities Lecture Screenings Select Activity Cardio Exercise Strength Training Cardio & Strength Training Group Exercise Walking Sports Activities Active-Rest Activities Lecture Screenings Select Activity Cardio Exercise Strength Training Cardio & Strength Training Group Exercise Walking Sports Activities Active-Rest Activities Lecture Screenings Select Activity Cardio Exercise Strength Training Cardio & Strength Training Group Exercise Walking Sports Activities Active-Rest Activities Lecture Screenings   Total Points
Please indicate the dates these points were earned. Feel free to list any comments or personal success stories below.