Virgin Pulse Enrollment Form


Get ready to think outside the gym. The Virgin HealthMiles program makes getting active not just another to-do, but a fun and integral part of your world. Get rewarded for being active and participating in other healthy activities.

As part of the HealthMiles Program, you can create and run your won Personal Challenges! You set the rules, we send out the invites. You provide the prizes, we provide the platform. Then let the games begin!

Here's What You Get

  • An activity tracker

  • Access to your own personal training site

  • A fun way to get active with your colleagues

Here's How it Works

  • Wear your activity tracker each morning. Get active throughout the day and watch the steps stack up

  • Plug your activity tracker into your computer to upload your steps

  • Track  all your activity on the Virgin Pulse website

We'll keep you motivated all year long with challenges, contests, team competitions with your co-workers and More! Horton Health Initiative will also give you opportunities to participate in healthy activities for even more HealthMiles.

So, what do you say, are you ready to join? Complete form below and click "SUBMIT", it's that easy.

Employee's Name *
Employee's Name
Employee's Date of Birth *
Employee's Date of Birth
Spouse's Name
Spouse's Name
Spouse's Date of Birth
Spouse's Date of Birth