Finger Lakes Health
Email Forms Manager
Online Services
Thank you for signing up for Staff Steps, the friendly walking competition between Finger Lakes Health employees. Please fill out this form to submit your walking team. All teams must identify a team captain who will be responsible for tallying the team members' steps every two weeks and submitting them online.  You must have at least two people to be considered a team (this should be the team captain and one other person) and up to 10 people total. Please call Christen Smith in Community Services at ext. 4065 if you have any questions. Thank you.

* Indicates required information
Team Captain * 
Team Captain Email Address * 
Team Captain Phone Number * 
Team Member Name  * 
Team Member Name 
Team Member Name 
Team Member Name 
Team Member Name 
Team Member Name 
Team Member Name 
Team Member Name 
Team Member Name 
Authentication * 

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