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Witness the Fitness 

Nomination Form

Catch your co-workers in the act of fitness!
Let’s get moving! If you “Witness the Fitness” with a co-worker, please fill-out the form below. The exercise can be walking, stretching, stairs, and more. By nominating your co-worker, they will have a chance to win a $50 gift card and receive a certificate. We will have 1 winners per month. If you have any questions, please contact Stephanee Phillips, Wellness Coordinator, at Wellness@CharlotteCountyFL.gov
1.Nominee's Information:(Required.)
2.If known, Which of the following organization is your nominee apart of:
3.What type of physical activity did you see the nominee doing?(Required.)
4.Where did you see physical activity take place?(Required.)
5.The month are you nominating:(Required.)
6.Your Information:(Required.)
7.Do you have any comments or feedback for Wellness at Work?