4 Weeks of Movement and Wellness (July 6th-August 2nd)

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1. What is your full name? (Required.)

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3. What is your cell phone number? (by signing up for this challenge I agree to text notifications from the Three Nations Wellness Center) (Required.)

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4. Are you a RSIC Staff, patient, or community member? (Required.)

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5. Are you signing up with a team or individually? (if signing up with a team please have team members also register using this link) (Required.)

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6. If signing up with a team, please list other team members below. (Required.)

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7. If a RSIC employee, please list your department. (Required.)

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8. If joining a team, please include your team's name below or add "not sure yet" and we will follow up later!

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