Weight Loss Contest Form

 Please complete the following information to register for the Weight Loss Contest.  All team members must weigh in on January 15th between 7am - 7pm.
If you can't weigh in on that date, or if you have additional questions, please contact Nancy Alexander at 562-6231.

Team Name:

Team Member Designate Captain Address City State Zip Email Phone Number Age 
(optional)

 

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