The 'I Am Powerful' Workout :: Report Your Hours

Report your hours!

Every hour you work out equals $5 to support CARE's work! Please fill out the form below to report your workout hours. To ensure accurate reporting, all fields are required.
*First name:
*Last name:
*Address:
*City:
*State/Province:
*Zip/Postal Code:
*E-mail Address:
	Check here to stay informed about CARE's work to fight global poverty.

*Please enter the number of hours you exercised in one week: Number of hours worked out (ex. 5 hours). Only weekly reporting accepted, workout (ex. 5, 6, or 15) hours should be rounded to the highest whole number. No text, fractions or decimal places please.
*Please list the week in which these hours occurred: For example, the week ending 9/22/08 or December 1 - 31, 2008.