Health and Wellness - Walking Program Registration

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Walking Program registration form

You may use this form to register your team.

*Team name:

*Team captain:
	Student Staff Faculty
Phone Number:
E-mail address:
Check if interested in:	Pedometer T-shirt

*Member 2:
	Student Staff Faculty
Phone Number:
E-mail address:
Check if interested in:	Pedometer T-shirt

*Member 3:
	Student Staff Faculty
Phone Number:
E-mail address:
Check if interested in:	Pedometer T-shirt

*Member 4:
	Student Staff Faculty
Phone Number:
E-mail address:
Check if interested in:	Pedometer T-shirt

*Member 5:
	Student Staff Faculty
Phone Number:
E-mail address:
Check if interested in:	Pedometer T-shirt

What is the cost?
                                  T-shirt: $4.00 - pre-ordered sizes and availability
                                  Pedometer: $2.00
                                  Registration: no charge

The steps log booklet and pedometer (if purchased) will be available for pickup at Health and Wellness Services, Main Hall, lower level, Monday - Friday, 8 a.m. to 4:30 p.m. If you have question, please feel free to stop in or call x3266.

Health Services

Phone: (920) 403-3266
Fax: (920) 403-3099
E-mail: health@snc.edu

St. Norbert College • 100 Grant Street • De Pere, WI 54115-2099 • 920-337-3181