THE BIGGEST LOSER ENTRY FORM - DOC by y0YegRo5

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									THE BIGGEST LOSER ENTRY FORM
NAME ____________________________________________________________
EMAIL ___________________________________________________________
PHONE___________________________________________________________
EMPLID__________________________________________________________

DATE OF WEIGH-IN_______________________ INITIALS____________
WEIGHT IN LBS.__________________________________________________

DATE OF MIDWAY WEIGN-IN______________ INITIALS____________
WEIGHT IN LBS. __________________________________________________

DATE OF FINAL WEIGH-IN_________________ INITIALS____________
WEIGHT IN LBS.__________________________________________________


Rules of Contest
   1. Official Weigh-In must be done between January 14-25, 2008.
   2. Weigh-In Times will be 4-7 PM in the LW Fitness Center Room 116
   3. Final Weigh-In will be April 28-30, 2008.
   4. Final Weigh-In Times will be between 4-7 PM in the LW Fitness Center Room 116
   5. All Contestants must have their official entry form when weighing in or your weight will
       not count for the competition. SO REMEMBER YOUR ENTRY FORM.
   6. Healthy weight loss is encouraged!!!
   7. The winner will be determined by percentage of body weight lost.

Prizes
1st Place $250
2nd Place $125
3rd Place $ 75
4th Place $50
5th Place $25

There will be a midway point WEIGH-IN Prize of $50 Target Gift Card for the contestant
that has lost the weight in pounds.
The midway weigh-in dates are March 5-7, 2008.
The midway weigh-in Times will be between 4-7 PM in the LW Fitness Center Room 116



Sign________________________________           Official Sign___________________________

								
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