CHALLENGES YOU TO BE... $25 per Participant 1st Weigh-In Tuesday—Thursday February 3—5 8:00 a.m.—5:00 p.m. At the offices of Dr. John A Taylor MD 307 S. Broadway, Portland For more information contact; portlandtnrelayforlife@gmail.com Challenge Rules and Guidelines Contest dates: Kick Off Meeting, Monday, February 2 – Final Weigh-In Thursday, April 16 Winner Announced at Relay for Life, April 18, 2015 This is an individual contest, not teams. Entrance Fee: $25 (non-refundable. Make check payable to Relay for Life, Portland) • ½ of entrance fee will go to Relay for Life • ½ of entrance fee will be awarded to the Biggest Loser based on % of weight lost • Entry fee will include a T-shirt for all contestants that participate in the Final Weigh-In. Weigh-in Schedule: Final Weigh-In Tuesday – Thursday, 8:00 a.m. – 5:00 p.m. (Closed for lunch 12:30-1:30) At the offices of Dr. John Taylor, MD located at 307 S. Broadway, Portland, TN See Kina Wald for Weigh-In Dates: (every 2 weeks) Feb 3 – Feb 4 Mar 3 – Mar 5 Mar 31 – Apr 2 Apr 14 – Apr 16 Feb 17 – Feb 19 Mar 17 – Mar 19 How will weigh-ins work? Weigh in will be every 2 weeks, Tues – Thurs , please make sure and wear the same type of clothing each time you weigh in for consistency purposes. Also please make sure and come only at the times that are allotted for weigh ins. If you cannot make a Weigh-In, that is fine, just please let us know, so that we will know you did not drop out. If you miss 2 consecutive Weigh-Ins, you will be disqualified. Results will be posted on Face book and by e-mail to all contest members. Each contestant will be assigned a 4 digit number in order to provide privacy for those who want to keep their numbers private. Disclaimer: Portland Relay for Life representatives/committee members are not professionals in the field of nutrition, exercise, or weight loss. So please know that you enter the contest at your own risk! We have requested the aid of Kina Wald, to assist with Weigh-Ins, nutritional and fitness advice. We encourage each contestant to attend Portland Fit Club as part of the exercise program. This is truly a wonderful contest that can help you change your current habits, create a better lifestyle for yourself, and of course, has the big added bonus of accountability. This contest is strictly between individuals...there are no teams. We do encourage you to tell others what you are up to, thus, creating a large support group and making you even more accountable!! We know you can be very successful if you just do your best at following the contest guidelines! Good luck, happy eating, and enjoy your exercise!!!! For more information contact: portlandtnrelayforlife@gmail.com Challenge Entry Form Participants agree to all conditions stated in the Biggest Loser Rules and Guidelines. The following information must be completed and turned in to Relay for Life by the 1st scheduled Weigh-In. Participant Information: Name __________________________________________________ (print legibly) Phone Number: ___________________________________________ Email: ___________________________________________________ Member of Relay for Life Team: _______________________________ (if applicable) Relay for Life’s Biggest Loser Challenge Terms of Agreement 1. I fully release Relay for Life of any legal liability for consequences related to my involvement in the Biggest Loser Challenge. 2. I have read and agree to the Biggest Loser Challenge Rules and Guidelines. 3. I will participate in the Initial, 2 Week and Final Weigh-Ins. 4. I understand that strenuous exercise and dietary changes may be hazardous for persons who are overweight, have high blood pressure, are over 30, have undiagnosed health problems, or have not participated in a regular exercise program. I further understand that the Biggest Loser challenge participants are encouraged to consult their physician before taking part in the program or before making any changes to dietary and exercise routines. 5. Relay for Life will keep my actual weight confidential, but reserves the right to publish the percentage of pounds loss and my success story, name and pictures via social media, email and Relay for Life events. I have read the above statements and agree to follow them. Participant’s Name (PRINT) Participant’s Signature Date: _________________________ Relay for Life Committee Only # __________________ (4 digit Participant #)
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