Registration deadline for Wellness Challenge 2013 is Thursday, Feb. 21 at 4 p.m.

Wellness Challenge 2013 runs from February 18 through March 17, 2013.

Please fill out the form below to participate in the 2013 Wellness Challenge.

Name 

Student ID (W#)  

Email

I would like to compete (select one)
(Note: If any team members also wish to compete individually, they must fill out a separate registration form and turn it in by the deadline)

Complete the section below for team entries only

Team Name  

Captain Name    W#    Email  

Team member 1 Name    W#    Email  

Team member 2 Name    W#    Email  

Team member 3 Name    W#    Email  

Team member 4 Name    W#    Email  

Team member 5 Name    W#    Email  

Team member 6 Name    W#    Email  

Team member 7 Name    W#    Email  

Team member 8 Name    W#    Email