CHALLENGES YOU TO BE... $25 per Participant

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 #)