MOVATI BE STRONG Challenge

Similar documents
MOVATI BE STRONG Challenge

Enviro-Quest 2016 camp information

Tenors Fly Away Experience Contest

WAIVER, RELEASE OF ALL LIABILITY AND ASSIGNMENT OF CLAIMS. As consideration for being allowed to participate in the event described below, I agree:

Name: Phone: Name/Phone of Emergency Contact:

Get!a!Grip:!Fall!2018! Information*and*Form*Package*

SCCA Rally/Solo Release and Waiver Guidelines

Tennessee Wesleyan University Volleyball Skills Camps

EQUIPMENT LENDING AGREEMENT

South Suburban Youth Rugby Club

Release of Liability PLEASE DO NOT CHANGE OR ALTER THE WORDING ON THIS WAIVER WITHOUT PRIOR APPROVAL FROM USROWING.

Request to be Placed on the Internet Gaming Self-Exclusion List and Release

Dance Competition Rules and Regulations

Lake Washington Rowing Club

Schedule: When: Saturday, December Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete

Hamilton and Friends Musical Theatre Camp

NSU PREVIEW DAY. Wednesday, March 28, :00 a.m. 6:00 p.m.

Club Membership Application or Renewal

ASSANTE DIRTY DASH FOR REBOUND - 5K MUD RUN RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

ALL DRIVERS MUST COMPLETE INFORMATION BELOW

BITCAMP TERMS AND CODE OF CONDUCT BY PARTICIPATING IN BITCAMP, YOU AGREE TO THE FOLLOWING TERMS AND ALL OTHER APPLICABLE DOCUMENTS.

AMAZON INTERDISCIPLINARY FIELD SCHOOL APPLICATION 2017

Instructions for Completing Ford DSFL Waivers

22nd Annual Go Shibata Memorial & Brown Belt Championships Texas Judo Inc All Star Event

Volunteer Staff Application

REGISTRATION FORM. 483 Quatsino Boulevard Friday, July 26, 2019 at 6:00 pm

2017 Minor Crew Check-List

SKATEBOARD COMPETITION ENTRY FORM

THE KANSAS INDOOR ROWING CHAMPIONSHIPS XXIX

Girl Guides of Canada-Guides du Canada (GGC) Cookie All Stars: Design. Create. Win. Contest

INTERNSHIP APPLICATION


APPLICATION FOR PART TIME EMPLOYMENT

Stark Museum of Art Application for Summer 2018 Art Quest Program, Health Form/Consent, and Liability Waiver

Membership Registration Form

D.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY

Pre Health Professions Conference Saturday, March 4, Registration Form Spots are limited and on a first come first serve basis

Voluntary Indemnity Agreement Release Discharge and Waiver of Liability Covenant Not To Sue

Presents the Prairie Days Parade

Nights of Lights Youth Opti Regatta. ENTRY FORM AND RELEASE OF LIABILITY AGREEMENT Saturday December 15, Skipper s Name: DOB: Age: Boat/Fleet:

UNITED STATES AUTO CLUB

2016 5K Reindeer Run/Walk Team Registration

2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS

2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS

ASLD & BMOCA DO MOROCCO 2019

MEDICAL INFORMATION AND MEDICAL TREATMENT RELEASE AND AUTHORIZATION FORM

2013 USACA MEMBERSHIP & INSURANCE

Terms and Conditions for 5aside.org

UNITED STATES AUTO CLUB

STUDY ABROAD WAIVER OF LIABILITY, INDEMINIFICATION, AND MEDICAL TREATMENT AUTHORIZATION AGREEMENT

NON-EMPLOYEE ACTIVITY RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

Membership Application Form

Neumann University Informed Consent and Medical Release Form

CONTEST RULES. SAFEWAY CUSTOMER ENGAGEMENT SURVEY CONTEST SPRING 2018 (the Contest )

Membership Application For

ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION

Upper Natoma Rowing Club Junior Member Application (Please print clearly)

Please fill out both sides of this form!!!

ADULT LEARN TO SAIL PROGRAM

ONTARIO ELITE CIRCUIT #4

PRINTING INSTRUCTIONS

Entry Form Idaho Regatta June 22-24, 2018

GENERAL CONTEST RULES AND REGULATIONS (the Contest Rules )

23rd Annual Go Shibata Memorial Texas Judo Inc. All Star Event

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /

CAPITAL BADMINTON ACADEMY.

2012 LWRC Dues and Storage Fees

ALBION COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS

WRAP/YMCA Expanded Learning Program

CONTEST RULES (the Official Rules ) FATHER S DAY Contest (the Contest )

NICKELODEON HOTEL - FAMILY FUN DAYS CONTEST (the Contest ) RULES & REGULATIONS ( Contest Rules )

Bash Spirit. BASH Spirit Grand National April 21, 2018 Nova University. City State Zip City State Zip

CAMPER IN LEADERSHIP TRAINING (CILT) REGISTRATION

Stark Museum of Art Application for Summer 2016 Art Quest Program, Health Form/Consent, and Liability Waiver

Welcome Team Advisors and Coaches;

Agreement and Release of Liability

Kids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child


INSURANCE INFORMATION

First Name: Middle Initial: Last Name: Gender: D.O.B: / / Age: Years of YMCA Camp Participation: Address: Apt/Unit #:

COLLEGE OF CHARLESTON STUDENT CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) Name of Program:

ECHUCA-MOAMA TO MILDURA FEBRUARY 26TH - MARCH 5TH 2016

Volunteer Application

Kaiser Permanente Corporate Run/Walk Boot Camp Information

AFFILIATION AGREEMENT WITH FOREIGN PLACEMENT SERVICES NATIONAL STUDENT EXCHANGE

ASTROS RBI FORMS CHECKLIST PARTICIPANT NAME: PARTICIPANT DATE OF BIRTH: / / CONTACT PHONE NUMBER: CONTACT

WHAT IS AN ESCAPE ROOM?

MEMBERSHIP APPLICATION WE RE A CAUSE WE RE MORE THAN A GYM. YMCA of Broome County

#RecycleBC 2018 Digital Contest OFFICIAL CONTEST RULES NO PURCHASE OF ANY KIND IS NECESSARY TO ENTER OR WIN.

Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church

Pauls Parachuting Inc QLD IA Parachuting Contract PARACHUTING IS DANGEROUS

(Student Last name, First name Middle Initial).

STUDY ABROAD PROGRAM PARTICIPATION AGREEMENT, ASSUMPTION OF RISKS, RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

VICTORIA CITY ROWING CLUB, a British Columbia society, having its address at 5100 Patricia Bay Highway, Victoria, British Columbia V8Y 2T6

Alaska Airlines Cheer on the Dawgs in Atlanta Sweepstakes Affidavit of Eligibility, Liability & Publicity Release

Young Farmers Challenge

MOTORSPORT INSURANCE LOSS CONTROL MANUAL

Registration Form. Mother s/guardian Name: LAST FIRST INITIAL Address: Home Phone: City: State: Zip: Cell Phone:

Trans Am/SCCA Pro Racing Competition License and Annual Credential Application

Transcription:

MOVATI BE STRONG Challenge The MOVATI BE STRONG Challenge (the Competition is being held by Movati Athletic (Group Inc. ( MOVATI. The Competition is subject to the terms and conditions set out below. It is possible to enter the Competition at any MOVATI location (each a Club. Registration for the Competition opens at 8:00 am on January 24, 2017 and closes at 8:00 pm on January 31, 2017. The Competition ends at 9:00pm on May 1, 2017. Prizes One GRAND PRIZE of $2,500.00 to be awarded to the participant with the highest combined score based on weight loss and improved body fat composition between Weigh-In and Weigh-Out from all Movati locations combined. Terms and Conditions 1. In order to be eligible to enter the Competition, an individual must have reached the age of majority in Ontario by the close of registration. 2. In order to enter the Competition, an individual must have purchased a minimum of 24 Personal Training Sessions during the period starting at 8:00 am on January 2, 2017 and ending at 8:00 pm on January 31, 2017. 3. In order to enter the Competition, eligible individuals must also complete the following, at their Club: a a Game Plan Session ( GPS appointment which includes a body fat analysis; b a weigh-in; c have their before photograph taken; and, d sign the Movati waiver and release form.

4. WEIGH-IN & BODY FAT ANALYSIS: Participants must weigh-in; complete their initial GPS appointment; and, have their before photo taken between 8:00 am on January 24, 2017 and 8:00 pm on January 31, 2017. 5. WEIGH-OUT & BODY FAT ANALYSIS: Participant must weigh-in; complete their body fat analysis; have their after photo taken; and, submit a written testimonial by no later than 9:00pm on May 1, 2017 in order to remain in the Competition. Failure to do so will result in disqualification from the Competition. 6. Winner Selection Criteria: The highest combined score based on weight loss and improved body fat composition are the ONLY criteria for determining the Winner. (with the exception of the requirement to answer the mathematical skill-testing question referred to below. 7. Multiple decimal points will be used to determine the winners if necessary. Example: John Smith weighs 200 lbs and is composed of 30% Body Fat on February 1st and 180 lbs and 20% Body Fat on May 1st. Total % of body weight loss is 10.00% and improved % of body fat composition is 10.00%, therefore, John will have a total combined score of 20. 8. The potential winner will be notified of their ranking in the Competition by telephone at the phone number in the participant s file held by the Club. In order to be declared the winner of a prize, a potential winner must first answer a mathematical skill-testing question to be administered by an agent of MOVATI by telephone. 9. Participant s account with his Club must be in good standing (no NSF charges in order to be declared a winner and awarded a prize. MOVATI reserves the right to remove any person from the Competition at any time if their Account is in arrears. 10. I acknowledge that I have read this document in full and understand and agree to the terms and conditions set out herein. 11. I agree to participate and compete ethically and fairly. I agree that I will not undergo any surgical weight-loss procedure during this Competition. Anyone who does so or is found to be using unhealthy techniques to lose weight, as determined in the sole discretion of MOVATI, will be subject to disqualification.

Prohibited techniques include but are not limited to: water pills (diuretics unless used as prescribed for a medical condition, laxatives and colonics. 12. I further agree that I will not make any disparaging, negative or defamatory comments, whether written or oral, by any means including electronic mediums about the Competition, its sponsors or participants. I agree to not take any action intended to discourage fellow competitors. 13. I hereby grant MOVATI specific permission to use my personal information, including my name, image, photographs, written testimonial and weight loss results, to highlight my personal fitness achievements for MOVATI s promotional purposes/advertisement without any consideration owing to me for any such use. WITNESSED BY: Name: Name of Participant Date: RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT PLEASE READ CAREFULLY! In consideration for being permitted to take part in the MOVATI BE STRONG Challenge (the Competition sponsored by Movati Athletic (Group Inc. (the Sponsor and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby warrant and agree that: 1. There is always a risk of injury, physical harm, or death resulting from participation in any activity that involves changes to a person s physiological condition, including the weight loss required in order to compete in the Competition. 2. I am physically, emotionally and mentally fit and able to participate in the

Competition, do not have any pre-existing conditions that could be adversely affected by taking part in the Competition, and have confirmed that to be the case with my healthcare provider. 3. I will follow all rules for participation in the Competition and will at all times be solely responsible for my personal safety, health and wellbeing. 4. During and after the Competition, I will be solely responsible for monitoring my physical condition and health, and I will immediately notify the Sponsor and withdraw from the Competition if at any time I sense or am made aware that I am experiencing any deterioration in my physical, emotional or mental fitness. 5. I have read this document in full, understand the terms and conditions of participating in this Competition and agree to the rules of the Competition as well as the terms of this Waiver and Release. 6. I will participate and compete ethically and fairly, not having undergone any surgical weight-loss procedure before or during the Competition. 7. I understand that I will be subject to disqualification if the Sponsor determines in its sole opinion that I am using unhealthy techniques to lose weight, including but not limited to the following: diuretics (i.e. water pills unless prescribed for a medical condition, laxatives and colonics. I UNDERSTAND AND AGREE, ON BEHALF OF MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES: 1. AN UNQUALIFIED ASSUMPTION OF ALL RISKS associated with the Competition, my participation in the Competition or any related activities or events even if arising from the negligence of the Sponsor or its related organizations, any event organizer, event venue and any and all persons associated therewith or participating therein. 2. A FULL AND FINAL RELEASE AND WAIVER OF LIABILITY AND ALL CLAIMS that I have, or may in future have, against the Sponsor, its affiliated companies, its directors, officers, employees, contractors, agents and representatives, advertisers, other participants of all types, sponsors, and their respective directors, officers, employees, contractors, agents and representatives (all of whom are collectively referred to as "the Releasees" from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer as a result of my participation in any part of, or presence at, the events or activities involved in the Competition, or in travel to or from such events or activities, due to

any cause whatsoever, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE RELEVANT OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES. 3. AN AGREEMENT NOT TO SUE THE RELEASEES for any loss, injury, costs or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from my participation in the Competition or related activities. 4. AN AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASEES, and each of them, from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any claim made against them or any one of them whether the claim is based on the negligence of the Releasees or otherwise from the activities referred to herein. 5. AN AGREEMENT that this document be governed by the laws of the Province of Ontario and the laws of Canada applicable therein. I HAVE READ AND UNDERSTAND THIS AGREEMENT AND AM AWARE THAT BY SIGNING THIS DOCUMENT I AM WAIVING CERTAIN LEGAL RIGHTS THAT I, MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MIGHT OTHERWISE HAVE HAD AGAINST THE RELEASEES EITHER INDIVIDUALLY OR COLLECTIVELY. I HEREBY SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT this day of January, 2017 WITNESSED BY: Name: Name of Participant: