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Calgary Co-op
»
Pharmacy
» Whole Health Challenge
Thank you for visiting the Calgary Co-op website. Registration for the Calgary Co-op Whole Health Challenge has now closed.
Calgary Co-op Whole Health Challenge Registration
* must be filled in.
First Name*
Initial
Last Name*
Member Number*
Registration Date*
Employee Number
(for employees entering the staff challenge)
Date of Birth*
(Must be 18 years or older to enter.)
day
01
02
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04
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month
jan
feb
mar
apr
may
jun
jul
aug
sep
oct
nov
dec
Gender
Female
Male
*
Address*
City*
Province*
Postal Code*
Phone*
(day)
(
)
-
ext.
Phone
(evening)
(
)
-
ext.
Email*
What is your Whole Health Challenge goal?
Would you like to join our email mailing list for the Challenge?*
Yes
No
At which Calgary Co-op Pharmacy location would you like to pick up your Challenge Starter Kit and drop off your weekly mini-challenges?
(Choose one location only.)
Location
Airdrie
Beddington
Brentwood
Creekside
Crowfoot
Dalhousie
Deer Valley
Forest Lawn
Hamptons
Macleod Trail
Midtown Market
Monterey
North Hill
Oakridge
Richmond Road
Rocky Ridge
Shawnessey
South Trail Crossing
Strathmore
Taradale
Village Square
West Springs
*
By registering, you acknowledge that you have read, understand and agree to abide by the
Rules and Regulations
, and
Liability Waiver
, for the Calgary Co-op Whole Health Challenge.*
Yes
BEFORE STARTING ANY HEALTH PROGRAM, YOU SHOULD DISCUSS IT WITH YOUR PHYSICIAN.
Please type the 2 words in the box below into the indicated text field. Doing so helps prevent automated programs from abusing this service.