Challenge - Step It Up - Bonus - TEMPLATE

Step It Up Banner – Full Bodies – Shorter

BONUS POINTS SUBMISSION FORM

(NOTES: Please submit ONE TIME ONLY. Thank you!)

TEAM*

ACTIVITY DATE*

NAME*

Have you ever participated in a community fun walk or run? (2500 Steps)

Yes, I did this.

If yes, did you participate with family or friend? (2500 Steps)

Yes I did.

Share your success story. Have you changed your lifestyle? What habits have you decided to change to become a healthier, happier you? Minimum 50 words. (2500 Steps)

Take a photo that expresses health and wellness! (healthy selfie, healthy family, healthy team) / Prendre une photo d'action = 2 500 pas (2500 Steps)

We would love to highlight the success of the challenge with you and your colleagues. Sharing pictures and success stories may help influence others. If you are not comfortable with sharing either, please let us know below. (Note: Names are never shared)

Please do not share my picture.

Please do not share my story.

HONOUR SYSTEM*

YES, I REALLY DID THIS AND WILL ONLY SUBMIT ONCE!

This field should be left blank