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

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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: Number of hours worked out (ex. 5 hours)
*Please describe the period of time these hours occured in: The time period that you worked out - daily, weekly, monthly (ex. week ending 9/22/07 or December 1 - 31, 2007)