COMMUTER INCENTIVE PROGRAMS
 Workout to Work Registration Form

Participation in Workout to Work is free.
You will receive a basic starter kit, plus opportunities to win monthly prizes and incentives and invitations to special events.

 
Name: 
Home Address: 
City: 
State and
Zip Code: 
Daytime Phone: 
Email Address: 
Employer:   
My commute is:  miles each way.
I plan to: walk
bike
Referred by*:

 
Please read the Participation Agreement below and check the box before submitting.

"I hereby assume all risks inherent in any physical activity and release and hold harmless program organizers (Seaport TMA) and employers of any and all claims and liabilities arising from participation in this program. I have full knowledge of the risks involved and I am fit to participate, and will seek instruction as needed on safe and secure practices."

  I have read and agree to the agreement above.

Return to Program Overview

 

Seaport Transportation Management Association
200 Seaport Boulevard, Mailzone Z1A  •  Boston, MA 02210
(617) 385-5510 phone  •  (617) 385-1788 fax
 SeaportTMA@fmr.com