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):

X	Event		X	Event
	Billiards			Horseshoes
	Bowling			Orienteering
	Darts			Run/Walk
	Golf			Wiffleball

List items borrowed from the Griffin Health Resource Center:

1. _______________________________________________________________________

2. _______________________________________________________________________

3. _______________________________________________________________________

______ I have not used any tobacco products for the duration of the Healthy Team competition.

______ I have not consumed alcohol for the duration of the Healthy Team competition.