Healthy Workplace Month
Registration Form

Register today to receive a resource package to get your organization moving.

Please complete each section in full.   Under the goals section, tell us if you are planning to start a walking program, launch an awareness campaign,  organize lunch hour fitness classes - the possibilities are endless.

Organization Name:

Organization Website:

First Name:

Last Name:

Position:

Address:

City:

Province:

Postal Code:

Phone Number:

Email:

Size of Workplace

Goals for Healthy Workplace Month: