Final 2018 San Bernardino - Greatest Loser

RSVP

Inter Agency Greatest Loser Final 2018 - San Bernardino County

Disclaimer: your response will be shared with a 3rd party and employer in order to administer an incentive.

Question Title

* 1. Please enter your department's name below.

Question Title

* 2. Team Captain name and contact information (please use your work information NOT your personal information):

Team Captain Full Name:

Team Captain Employee ID #:

Work Email:

Work Address:

City, State, Zip:

Work Phone Number:

Question Title

* 3. Please enter the employee names of all the participants on the team (start with the Team Captain)

Team Captain

Participant 2

Participant 3

Participant 4

Participant 5

Participant 6

Participant 7

Participant 8

Participant 9

Participant 10

Participant 11

Participant 12

Participant 13

Participant 14

Participant 15

Question Title

* 4. Team Name:
(Enter the same name selected during registration for your team, your team name stays the same during the entire contest, i.e. Biggest Loser, Gut Busters, etc.).

Question Title

* 5. Number of Team Members:
The team must be the same number of team members you started the campaign with.
(Select the number of team members on your team from the drop-down list, 1-15).

Question Title

* 6. Total team weight during the week of March 26th - April 1st, 2018. :
(Enter the total number of pounds your team weighs. Refer to your tracking template).
If a member of your team did not weigh-in or dropped out, then please include and roll over his/her last weight.

Question Title

* 1. Please enter your department's name below.

Question Title

* 2. Team Captain name and contact information (please use your work information NOT your personal information):

Question Title

* 3. Please enter the employee names of all the participants on the team (start with the Team Captain)

Question Title

* 4. Team Name:(Enter the same name selected during registration for your team, your team name stays the same during the entire contest, i.e. Biggest Loser, Gut Busters, etc.).

Question Title

* 5. Number of Team Members:The team must be the same number of team members you started the campaign with.(Select the number of team members on your team from the drop-down list, 1-15).

Question Title

* 6. Total team weight during the week of March 26th - April 1st, 2018. :(Enter the total number of pounds your team weighs. Refer to your tracking template). If a member of your team did not weigh-in or dropped out, then please include and roll over his/her last weight.

* 4. Team Name:
(Enter the same name selected during registration for your team, your team name stays the same during the entire contest, i.e. Biggest Loser, Gut Busters, etc.).

* 5. Number of Team Members:
The team must be the same number of team members you started the campaign with.
(Select the number of team members on your team from the drop-down list, 1-15).

* 6. Total team weight during the week of March 26th - April 1st, 2018. :
(Enter the total number of pounds your team weighs. Refer to your tracking template).
If a member of your team did not weigh-in or dropped out, then please include and roll over his/her last weight.