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):

Bowling __________________________________________________________

Darts ________________________________________________________________

Billiards ______________________________________________________________

Volleyball____________________________________________________________

Horseshoes ________________________________________________________

Miniature Golf ________________________________________________________

2K Walk _____________________________________________________________
 


Building a healthier life style

   Griffin Hospital