WELLNESS: 4For Being Fit Registration (2007-2008)

TEAM NAME:                                                                

Please complete one form for the whole team.  Registration forms should be delivered to the Wellness Committee on October 23rd from 12:00pm-1:30pm.  Or send to Marcy Jung/Exercise Science (jung_m@fortlewis.edu) by November 1st.

TEAM MEMBERS:

1.  TEAM CAPTAIN!  

Name:                                                                           Dept.                               Phone:                                  

            Gender:  M       F                                  shirt size (unisex size):  S   M   L   XL

2.  Name:                                                                      Dept.                               Phone:                                  

Gender:  M       F                                  shirt size (unisex size):  S   M   L   XL

3.  Name:                                                                      Dept.                              Phone:                                  

            Gender:  M       F                                  shirt size (unisex size):  S   M   L   XL

4.  FIRST TIMER -- EXERCISE CONVERT -- NEW EMPLOYEE (w/in 6 mos) (circle if any of these apply)

Name:                                                                           Dept.                               Phone:                                  

            Gender:  M       F                                  shirt size (unisex size):  S   M   L   XL