Organization Intent to Participate
Thank you for your interest in Weight of the Fox Valley's "Maintain, Don't Gain" Challenge!
Employer Name *
Your answer
Contact Name *
Your answer
Contact Email *
Your answer
Contact Phone Number: *
Your answer
Is there currently wellness programming at your worksite? *
Has your worksite conducted or participated in a "Maintain, Don't Gain" Challenge previously? *
Current number of employees (that will be employed during the challenge 11/1/18 - 1/2/19) *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service