ISA/TASN WELLNESS CHALLENGE REGISTRATION FORM
All fields are required

School District 
Name of Team 
Email 
Address 
City, State      Zip 
Phone 

 (Please include the Area Code)
Team Member Names

Your Plan
of Action


You may add additional members during the year. Please keep a record of the dates these members are added for your final report.

It is always important to seek the advice of a physician before undertaking any diet and exercise program. By entering the ISA/TASN Wellness Challenge you are certifying that you are healthy enough to participate in a diet/exercise program. ISA or TASN cannot be held liable for any injuries or illness sustained as a result of participation in this program. ISA reserves the right to document all information sent in for registration or reporting.
We Ensure that the Information provided by you will be kept Private and Confidential