Weight Loss Challenge Agreement and Registeration Form

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Weight Loss Challenge Agreement and Registeration Form Powered By Docstoc
					  Sunshine Fitness Weight Loss Challenge for the New Year!
Each participant must sign the following agreement:

I have received and agree to the rules of the Weight Loss Challenge. (Attached on next page.)

I understand that the nonrefundable participant fee of fifteen dollars ($15.00) entitles me to participate in
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the weight loss challenge 12-week competition, which begins of January 3 , 2012 and ends March
   th
27 ,2012

I agree to weigh-in for the next 12 weeks on Tuesdays either at 9AM or 7PM SHARP. I further agree to
pay $1 penalty fee for each pound gained during the challenge. I understand that I am allowed one
absence during the 12 week challenge and I agree to pay $5 for each additional absence (for any
reason).I also understand that if I choose to drop out of the challenge, I am entitled to NO refund for any
monies paid to the Weight Loss Challenge. I further understand that the weight loss payout will be as
follows: 35% paid to the person who loses the biggest percentage of their weight. You also get the
penalty payments! 20% paid to the person who loses the 2nd biggest percentage of their weight.15% paid
to the person who loses the 3rd biggest percentage of their weight.30% paid out for weekly cash prize.

_________________________________________
Signature                        Date

Print Name:________________________
Address:__________________________
City, ST:__________________________
Phone: ___________________________
Email:____________________________

____I have enclosed the nonrefundable registration fee of $15.

You can mail this to Sunshine Fitness, P.O. Box 164, Turtle Lake, WI 54889. Or slip it under my office
door or give me a call and I will meet with you. My number is 715-641-0168.
                 Sunshine Fitness Weight Loss Challenge Rules
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First Weigh-in is Jan 3 and Final is March 27th
1. Open to the public, you don’t have to be a member. There is a nonrefundable Registration fee is $15. If
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you would like to join Sunshine Fitness the $15 can be also used towards your 1 month membership fee
(for new members only).
2. If the participant gains weight from last recorded weight, they pay $1 per pound, to be added to the
Prize Jackpot. There is no charge for less than one pound.
3. Each participant is allowed one absence. Additional absences (for any reason) will be charged $5 for
each absence, to be added to the Prize Jackpot
4. The WLC will run for 12 weeks. Weigh-ins will take place on Tuesdays at 9AM and 7:00PM SHARP
with weekly prizes awarded between 7:15 and 7:30PM.
5. Payout is as follows:
      35% paid to the person who loses the biggest percentage of their weight. You also get the
         penalty payments!
      20% paid to the person who loses the 2nd biggest percentage of their weight
      15% paid to the person who loses the 3rd biggest percentage of their weight.
      30% paid out for weekly cash prize.
6. The biggest weight loser is determined by the person who loses the biggest percentage of body
weight. Therefore men and women will have the same advantage and will all be combined in one Prize
Jackpot. All winners will be announced at final celebration meeting.
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Please register by Jan 2 .

				
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posted:2/21/2012
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