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Thank you for participating in the Healthy Through the Holidays Wellness Challenge!

To record your commitment and order your prize, please complete the six questions below.

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* 1. First Name:

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* 2. Last Name:

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* 3. Campus:

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* 4. Department:

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* 5. Email Address:

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* 6. Is this your first wellness challenge?

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Participation Incentive: Campfire Mug

<div style="text-align: center;">Participation Incentive: Campfire Mug</div>

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