This form is a pledge for Mayors to participate in the Mayors Wellness Campaign

  • As Mayor of {town} I pledge to work cooperatively with the Mayors Wellness Campaign to implement new programs which will promote active living and healthier lifestyles for the men, women and children of our community. I am committed to evaluating and reporting the programs we implement in our community.
  • Digitally sign by entering your name here
  • month/day/year

  • Contact Person

    Who in your town should the Mayors Wellness Campaign contact with additional information?

  • This field is for validation purposes and should be left unchanged.