Enroll in Well-being Challenge #3

Choose one or more of the following actions to improve your physical well-being:

Add 20 minutes physical activities each day.
Drink a glass of water when you wake up.
Set a bedtime that's early enough to get 7 hours of sleep

Please complete the form below

* Required fields

I work at Costco
My spouse / domestic partner works at Costco
My spouse / domestic partner and I both work at Costco

My Information

First Name *

Last Name *

Email *

Costco would like to send you communications via text. By checking the box you agree and opt-in to receive text communications. Carrier rates may apply. When receiving texts you may opt-out at any time.

Phone Number *

Employee number *

Location *

Costco employee information

Employee number *

Location *

Would you also like to have your spouse / domestic partner participate?

My spouse's / domestic partner's information

First Name *

Last Name *

Email *

Employee number *

Location *

Choose one or more of the following actions to improve your physical well-being:

Please complete the form below

My dream vacation

My exercise routine

My preferred diet

My financial approach

My workstyle