Healthy Team

Participant Contract

I hereby certify that all the information I have provided for the Healthy Team event is complete, truthful and correct to the best of my knowledge.

(This form must be submitted at post-test.)

Participant Name (please print) ____________________________________________

Participant Signature ___________________________________ Date____________

Please check-off events in which you participated (one event minimum):

Bowling

Darts

Billiards

Volleyball

Horseshoes

Miniature Golf

2K Walk