
















Birth date check
Zip code
Food bank
Pounds pledged
Registration
About you (optional)
*Do not participate if you're pregnant or if weight loss is not appropriate for you. Always contact your doctor before starting any weight loss program. Even if some weight loss is appropriate for you, please do not engage in excessive weight loss. The maximum number of pounds that can be pledged and ultimately counted toward the Pound For Pound Challenge donation is capped at fifty pounds per person. Again, make sure your doctor agrees with your weight loss plan. Pledges accepted through June 30, 2010.
(Optional) At which store(s) do you grocery shop?
| Name: | |
| Email: | |
| State: | |
| Zip code: |