Thank you for applying for the Healthworks Workplace Warrior Challenge! Each team must be comprised of up to eight female employees (minimum of six) from the same organization. You may have a maximum of two Healthworks members on your team. In order to complete the application you will need to know the full name, email address, phone number, and birthdate month and birthdate year of each team member, as well as your group's preferred time and location. Applications with incomplete information will not be considered for the challenge.Good luck!

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* 1. Employer:

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* 2. Team Name (please incorporate the name of your employer into your team name):

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* 3. Preferred Day & Time for Group Personal Training:

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* 4. Why should your team be chosen for the Workplace Warrior Challenge?

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* 5. Team Captain Contact Information:

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* 6. Additional Team Member Contact Information:

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* 7. Additional Team Member Contact Information:

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* 8. Additional Team Member Contact Information:

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* 9. Additional Team Member Contact Information:

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* 10. Additional Team Member Contact Information:

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* 11. Additional Team Member Contact Information:

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* 12. Additional Team Member Contact Information:

Congratulations! You have completed your application for Workplace Warrior Challenge!

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