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Wellness Pays Activity Submission

Please fill out the form to submit your Wellness Pays activities

W Number (include the W): 

First name:     Last name   

Date of Activity (mm/dd/yyyy) Pick a date

Type of Activity

Activity

 Description of activity (if needed - race name, etc) 

 

 


Weber State University
Ogden, Utah 84408
(801) 626-6000