Challenge Form Contact InformationName*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Preferred Communication*How would you like us to contact you? (Select all that apply) Email Phone Mail Referral InformationHealth Organization*Please identify the health care organization that referred you to the Beyond Challenge. If you were not referred by any organization or health care worker, please select "No referral." Banner - University Medical CenterTucson Medical CenterEl Rio HealthotherNo referralIf you selected "other," please identify the organization that referred you to this program in the box below.DepartmentIf you were referred by a health care organization, please identify the department that made the referral.Personal Health Goal InformationYour Personal Health Goal*What would you like to accomplish? What pillar(s) does your personal health goal fall under? (Select all that apply)* Explore Move Nourish Connect How would you like us to support you?* Online resources One-on-one coaching Group memberships Other Unsure General InformationHow would you like to receive your challenge card?*I will pick it upPlease mail it to meEvent I'd like to pick it up atSelect an EventTucson Medical Center BEYOND Healing Art Walk -- January 14, 2017 @ 9:00 amFREE Day at the Children's Museum Tucson -- January 14, 2017 @ 12:00 pmTogether We Move - BEYOND Main Event! -- January 14, 2017 @ 12:00 pmBEYOND Rhythms for Peace & Joy Drumming Circle -- January 14, 2017 @ 12:00 pmKidical Mass Family Bike Ride -- January 14, 2017 @ 1:00 pm24Hop Bike In -- January 14, 2017 @ 2:00 pmMeet Me at Maynards Walk/Run @ Armory Park -- January 14, 2017 @ 3:00 pmScience Talk: Compassion Through Positive Communication -- February 8, 2017 @ 5:30 pmFine Valentine Race: 2-mile, 4-mile & 4-mile Relay -- February 12, 2017 @ 8:30 amBe Tucson -- February 19, 2017 @ 8:00 amLet's Get Fit with Children's Museum Tucson -- March 4, 2017 @ 10:00 amFree Nutrition Seminar with Dr. Gann -- March 8, 2017 @ 5:30 pmMOVE across 2 Ranges Hiking Challenge -- March 11, 2017 @ 6:30 amValley of the Moon - Enchanted Neighborhood Tour -- March 18, 2017 @ 10:00 amMarana 5000 & Fitkidz/Family Mile -- March 19, 2017 @ 8:30 amLiving Streets Alliance brings you... Cyclovia! -- April 2, 2017 @ 10:00 amEl Grupo's 14th Annual Bicycle Scavenger Hunt -- April 15, 2017 @ 8:00 amBeyond Talk: Running & Mental Health with Dr. Luis Leon -- April 19, 2017 @ 5:30 pmNational Park Rx Day -- April 23, 2017 @ 7:00 amDia de los Ninos at the Children's Museum -- April 29, 2017 @ 10:00 amChuk-son Trail and Beyond -- April 30, 2017 @ 7:00 amBeyond Talk: The art of Slowing Down -- May 6, 2017 @ 2:00 pmTanque Verde Flow & Feast -- May 6, 2017 @ 5:30 pmDr. Gann's Diet of Hope Cinco de Mayo 5K/10K Walk/Run -- May 7, 2017 @ 6:30 am2nd Annual Festival of Miles (TMC Meet Me Downtown) -- May 26, 2017 @ 4:00 pmThe Art of Saying No -- July 15, 2017 @ 10:00 amSave a Life, Don't Give Up -- July 27, 2017 @ 5:30 pmMeet Me at Maynards - Every Monday Evening! -- August 28, 2017 @ 5:00 pm48th TMC Saguaro National Park Labor Day 8-Miler & 5K Walk/Run -- September 4, 2017 @ 6:00 amLoop The Loop -- September 16, 2017 @ 6:30 amGabe Zimmerman Triple Crown (2nd Race) -- September 17, 2017 @ 6:00 amSabino Canyon Fitkidz One Mile Classic -- September 30, 2017 @ 6:30 amBeyond Hike: Upper Green Mountain Trail -- October 1, 2017 @ 9:00 amGreat Pumpkin Race at Buckelew Farm -- October 15, 2017 @ 7:00 amEl Grupo's 4th Annual Fall Fondo Fundraiser -- October 15, 2017 @ 7:00 amPan-African Dance Workshops with Uzo -- October 23, 2017 @ 7:00 pmGabe Zimmerman Triple Crown (Final Race) -- October 29, 2017 @ 7:00 amCyclovia Tucson -- October 29, 2017 @ 10:00 amPan-African Dance Workshops with Uzo -- October 29, 2017 @ 5:00 pmColossal Vail 50/50 -- November 11, 2017 @ 6:00 amEncuentrame En El Pueblo -- November 18, 2017 @ 3:30 pmBeyond Hike! -- November 19, 2017 @ 9:25 amEvery Thursday! Dequenesh Community Health Clinic & The Community Food Bank -- December 7, 2017 @ 3:00 pmRide to Remember and Renew -- January 13, 2018 @ 9:00 amJoin Us for Park Rx - Prescribing A Walk In The Park! -- January 13, 2018 @ 12:45 pmBeyond Rhythms for Peace & Joy - New Year Drumming -- January 13, 2018 @ 3:00 pmMove Across 2 Ranges Hiking Challenge -- February 24, 2018 @ 6:00 amWalk for Health at Limberlost Family Park -- March 25, 2018 @ 2:00 pmNational Park Rx Day at El Pueblo Neighborhood Park -- April 28, 2018 @ 8:00 amEncuentrame En El Pueblo Weekly Wednesday Walks -- May 23, 2018 @ 4:30 pmFull Moon Hike at Saguaro National Park East -- May 29, 2018 @ 7:30 pmTMC Meet Me Downtown 5k Night Run and Festival of Miles -- June 2, 2018 @ 4:00 pmPark Rx Summer Hike at Sabino Canyon -- June 23, 2018 @ 7:00 amPark Rx Summer Full Moon Hike -- June 28, 2018 @ 7:30 pmPark Rx Summer Hike at Mt Lemmon -- July 21, 2018 @ 7:00 amPark Rx Summer Full Moon Hike -- July 27, 2018 @ 7:30 pmPark Rx Summer Morning Hike at Mt Lemmon -- August 18, 2018 @ 7:00 amTMC Tucson 10k -- September 16, 2018 @ 5:30 amTMC Get Moving Tucson Half-Marathon, 5k and FitKidz Mile -- October 28, 2018 @ 5:30 amPark Rx Full Moon Hike -- November 20, 2018 @ 6:00 pmDiscover Petroglyphs in the Tortolitas -- January 12, 2019 @ 8:00 amParkRun & Community Harvest with Iskashitta -- January 12, 2019 @ 8:00 amWalk with a Doc at Rillito River Park -- January 12, 2019 @ 8:00 amBeyond Saguaro National Park West - Free 4M & 1M Fun Run/Walk -- January 12, 2019 @ 8:30 amRide to Remember & Renew: Bike Ride with Damion Alexander Team -- January 12, 2019 @ 8:30 amWitness the Fitness at El Pueblo Neighborhood Park -- January 12, 2019 @ 9:00 amThe Chuk-son Trail and BEYOND - with Ironwood Tree Experience -- January 12, 2019 @ 9:00 amStroll and Roll -- January 12, 2019 @ 9:00 amGrow Healthier - With Friend's of Tucson's Birthplace -- January 12, 2019 @ 9:00 amFree Fitness Saturday at The Core -- January 12, 2019 @ 9:30 amArizona Trail Hike or Ride -- January 12, 2019 @ 9:30 amBEYOND Kickball Tournament -- January 12, 2019 @ 10:00 amTogether We Move - Dance Fitness Fest -- January 12, 2019 @ 10:00 amCommunity Cafecito & Bike Rodeo - With Ward One -- January 12, 2019 @ 10:00 amValley of the Moon Scavenger Hunt and Community Harvest -- January 12, 2019 @ 11:30 amBike Mind Meanderings: Art, Architecture, Murals & Tucson Oddities - With Alexander Team -- January 12, 2019 @ 12:00 pmBeyond Fun Day at Tucson Racquet & Fitness Club -- January 12, 2019 @ 2:00 pmFrom Process to Policy to Implementation: Health Diplomacy as a Foundation for Delivering Safe Patient Care -- February 13, 2019 @ 12:00 pmMission Garden is Growing with NAMI Southern Arizona -- March 16, 2019 @ 2:00 pmScience Citizenship: My Path from the Lab to Washington, D.C., to Going Local -- April 3, 2019 @ 12:00 pmEl Grupo Scavenger Hunt -- April 6, 2019 @ 8:30 amCyclovia Tucson: Banner—UM to Warehouse Arts District -- April 7, 2019 @ 9:00 amWorkplace Health: Moving Beyond Diet & Exercise -- April 23, 2019 @ 7:00 pmSchool Lunch Symposium -- May 31, 2019 @ 10:00 amSummer Safari SATURDAY Nights 2019 -- August 3, 2019 @ 5:30 pmRace for the Planet -- August 11, 2019 @ 6:00 amIskashittaa Weekly Summer Harvests -- August 30, 2019 @ 8:00 amCelebrate International Day of Peace 2019 -- September 21, 2019 @ 6:00 pmGabe Zimmerman Triple Crown -- October 27, 2019 @ 5:30 amTeam Beyond at El Tour de Tucson -- November 23, 2019Meet Me WednesdayS -- December 4, 2019 @ 5:00 pmDiscover Petroglyphs in the Tortolitas -- January 11 @ 8:00 amWalk with a Doc at Rillito River Park -- January 11 @ 8:00 amHimmel ParkRun - Free 5K Run/Walk -- January 11 @ 8:00 amGrow Healthier with Friends of Tucson's Birthplace -- January 11 @ 8:00 amBeyond Saguaro National Park West - Free 4M & 1M Fun Run/Walk -- January 11 @ 8:30 amRide to Remember & Renew: Bike Ride with The Damion Alexander Team -- January 11 @ 8:30 amBeyond Warriors - Reach The Loop! -- January 11 @ 8:30 amStroll and Roll -- January 11 @ 9:00 amChuk-son Trail with Ironwood Tree Experience -- January 11 @ 9:00 amCommunity Harvest with Iskashitaa Refugee Network -- January 11 @ 9:00 amOro Valley “Let’s Go Beyond” Hike -- January 11 @ 9:00 amArizona Trail Hike or Ride -- January 11 @ 9:30 amThe Core Fitness Sampler with Athleta -- January 11 @ 10:00 amTogether We Move - Dance Fitness Fest -- January 11 @ 10:00 amCaminata de Changemakers -- January 11 @ 10:00 amKindness Cook-Off at Valley of the Moon -- January 11 @ 11:00 amMeet Me at Mercado Annex -- January 11 @ 11:00 amMission Garden Third Thursday -- January 16 @ 3:00 pmSunday Stroll & Roll -- January 19 @ 9:00 amMercado Weekly Walks & The Santa Cruz River Farmers' Market -- January 23 @ 3:00 pmHow did you hear about BEYOND?*Comments/QuestionsCommentsThis field is for validation purposes and should be left unchanged. 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