Team Captain’s Log
Team Captain’s Name
Team Name
Directions:
▪ Collect individual registration forms and fees from each member (include yourself). Submit forms/fees to
local K-State Research and Extension office before registration deadline.
▪ Record team members' total weekly activity minutes and fruit/vegetable amounts.
▪ On Monday of each week, report team totals to local office or enter information at www.walkkansas.org
▪ Encourage team members to view their progress at www.walkkansas.org
▪ Make sure team members are receiving a weekly Walk Kansas newsletter.
▪ During week 7 and 8, encourage team-mates to complete a program evaluation survey and submit a success
story if appropriate (online or turn paper survey in to local office).
▪ Contact information for local K-State Research and Extension Office:
316 660-0127 or [email protected]
Please report total minutes of activity for your team each week. (Each participant should report bonus
minutes as part of their weekly total provided they qualify.) The website will convert minutes into
miles for your team. Fifteen minutes of moderate or vigorous physical activity counts as one Walk
Kansas mile.
Names
Week
#1
Week
#2
Week
#3
Week
#4
Week
#5
Week
#6
Week
#7
Week
#8
Min. F/V
Min. F/V
Min. F/V
Min. F/V
Min. F/V
Min. F/V
Min. F/V
Min. F/V
1.
2.
3.
4.
5.
6.
Total Minutes
Total F/V
Kansas State University Agricultural Experiment Station and Cooperative Extension Service
K-State Research and Extension is an equal opportunity provider and employer. Issued in furtherance of Cooperative Extension Work, Acts of May 8 and June 30, 1914, as
amended. Kansas State University, County Extension Councils, Extension Districts, and United States Department of Agriculture Cooperating, Gary Pierzynski, Interim Director.