Celebrate National Employee Health & Fitness Day

Enjoy a short walk, healthy lunch with dessert and giveaways!

Start your walk anytime between 11:00 and 1:30 at the Pavilion on East Market Street and follow our new walking route!

Generously supported by: Avery Hall Insurance, Inc., CFS Retirement & Tax Solutions, Market Street Inn, Peninsula Insurance, Peninsula Regional Medical Center Food Services and Cardiac Rehab, Pepsi-Cola Delmarva Ventures, City Florist, Reddy Ice, Wicomico County Board of Education School Nutrition Services, Wicomico County Health Department
Questions? Call (410) 546-5311
My online registration confirmation # __________

Walk @ Lunch FAX REGISTRATION FORM Register online at www.wicomicohealth.org (Fax) to (410) 548-5184 by May 17th.

PLEASE HELP US SAVE FAX TONER – DO NOT COMPLETE IF YOU REGISTERED ONLINE
Name: Organization:
Work Phone: e-mail:

I release the Wellness Information, Nutrition and Physical Activity Coalition, including all sponsors and representatives from all claims and liabilities of any kind arising out of my participation in this event. I assume all risks associated with walking in this event, including high heat, humidity and the conditions of the walking areas.

Signature: (electronic signature accepted online)

Have you participated in past Walk @ Lunch Events? YES NO
Do you get at least 30 minutes of physical activity most days? YES NO
Do you eat 3 or more servings of fruit on most days? YES NO
Do you eat 3 or more servings of vegetables on most days? YES NO