2012 Fall 4 Fitness Challenge Business Commitment

The Greater Flint Health Coalition and HealthPlus of Michigan are pleased to present the 2012 Fall 4 Fitness Challenge.

This one-month physical activity challenge is available to all area companies interested in bringing wellness to their workplace and competing with other like minded companies. The challenge will be held the month of October (Oct. 1-31).

If your company is interested in participating, commit now! Complete the Fall 4 Fitness Challenge Commitment Form below to confirm your company's participation.

A company leader/point person will be asked to attend a team leader/coordinator meeting held on September 13th at 9:00 a.m. with additional details. This person will also receive an invitation to this meeting (if they cannot attend, a webinar will also be made available at 3:00 p.m. on September 13th to obtain the information). Email commit2fit@flint.org or wellness@healthplus.org with any questions.

Question Title

* 1. Our company/organization is committed to participating in the 2012 Fall 4 Fitness Challenge.

Yes

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* 2. Please provide the information below:

Company Leader/Point Person

Company/Organization/Business

Address

Address Line 2

City/Town

Zip Code

Email Address

Phone Number

Alternate Point Person

Alternate Email Address

Alternate Phone Number

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* 3. Please indicate your company/organization's size.

1-100 Employees

100+ Employees

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* 4. If possible, please provide your company/organization's total number of employees (this can be an estimate, however, the question is optional if you are not aware of this number).