Take the 5210 Pledge | Healthy Lee

Our Vision

Collaborating for Community Health

Our Purpose

To help educate members of the Lee County community on healthy habits that can be applied to the entire family in order to improve their health and wellness.

Take the Pledge by filling out the form below to get started!

Name of Pledgee or Family Representative
First Last
Company / Organization Name

If you are affiliated with an organization, community group or company, please provide the name of the group for informational purposes. *Note: The 5210 Pledge is not a team event.
How many people in your Household/Group participating (including yourself)?*
Please enter a number from 1 to 50.
The 5210 Pledge should be taken by each person individually. However, if you are pledging on behalf of another (e.g. minors, those who cannot complete the online pledge form), please indicate how many people (adults and children) will be participating in the 5210 challenge under your pledge. *Note: If people will be completing an individual pledge form, please do not include them in the number above.
Email Address*

Stay connected to the 5210 Challenge through email updates, tips and resources. By opting into the 5210 Pledge, you agree to receive email communication from Healthy Lee and its community partners.
City
Zip Code
Your Age*
The 5210 Pledge
- In May, I will eat at least 5 servings of vegetables & fruits every day!
- In June, I will limit recreational screen time to 2 hours or less per day!
- In July, I will get 1 hour or more of physical activity every day!
- In August, I will drink no sugar-sweetened drinks and drink more water!
Take the 5210 Pledge by committing to each of the healthy choices below by marking each box.
*
- I Accept the 5210 Pledge
Date
MM slash DD slash YYYY