Roper Hospital Relay Challenge Registration

Roper Hospital Relay Challenge

Congratulations on deciding to participate in our third Roper Hospital Wellness Challenge!

The challenge is for your team of two or four to finish the relay first. Each team will have to do 25 of the following exercises: jumping jacks, squats, pushups and lunges. If you have two people on your team, you can take turns doing the exercises. If you have four people, each person can do one set of 25.

We've got t-shirts for participants and prizes for winners.

We look forward to seeing you there!

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* 1. If you'd like to enter the Roper Hospital Relay Challenge, please enter your name and department.

Name

Department

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* 2. Please indicate your t-shirt size.

Men's Small

Men's Medium

Men's Large

Men's Extra Large

Men's 2XL

Women's Small

Women's Medium

Women's Large

Women's Extra Large

Women's 2XL

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* 3. Please enter your team name.

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* 4. Please list your team members' names and team name below. Only one person from your team needs to fill out this registration form.

Team name:

Team member 1:

Team member 2:

Team member 3:

Team member 4:

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* 5. Please enter your email address below so we can contact you with important updates/additional information for the challenge. Please include the best email address to contact your team with updates on the challenge.

Email address for team member 1

Email address for team member 2

Email address for team member 3

Email address for team member 4