Active Aging
Partnership
Blueprint
Organizations
Aging and Physical
Activity Links
Conferences and
Future Events
Open Bulletin Board/
Questions about
Physical Activity
Public Information/
Aging Tips
Physically Active
Role Models
Media Section
Publications and
Other Resources
Downloadable
Presentations
about the Blueprint
Partner Links
New Active Green
Environments Project
Qi Gong and
Tai Chi Project
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Physically Active Role Models
Images of Aging Entry Form Name of Photographer: ______________________________________________ Address:_________________________________________ ______________________________________________ Phone: _______________________________________ E-Mail: _________________________________________ Name, Address, and Phone Number of Model in Photo: _________________________________________________ ______________________________________________ ______________________________________________ Age of Model: __________ May we contact the model in the photo for more information about their level of physical activity and regimen?
Yes ______ Send photos by September 15, 2003. The contest is free. E-mail photo to blueprint@kines.uiuc.edu Mail print photo to:
Lisa Sheppard
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