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Registration for 2017 MBC Biggest Loser Program

Registration Form

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General Legal Disclaimer
Consult your Physician

The MBC Biggest Loser Contest offers health, fitness, and nutritional information and is for educational purposes only. It is not a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment of health conditions. Please consult your physician or other healthcare professional before beginning or changing any fitness program to make sure that it is appropriate for your needs; especially if you have a history of any of the following:
   High Blood Pressure (You or your family)
   Heart Disease (You or your family)
   Chest Pain when exercising
Chest Pain in the past month when not engaged in physical activity
   Smoking
High Cholesterol
   Obesity
   Currently pregnant
   Bone or Joint problem that could be made worse by a change in physical activity

You should be in good physical condition and be able to participate in the exercise. The hosts of this program are not licensed medical care providers and represent that we have no expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition.

You should understand that when participating in any exercise or exercise program, there is a possibility of physical injury. If you engage in this exercise or exercise program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Middletown Baptist Church, the program hosts: Spring Lynch, Katrina Cash, and Karla Thorpe, and any guest speaker or guest fitness trainer from any and all claims or causes of action, known or unknown, arising out of the 2017 MBC Biggest Loser Contest program's negligence.

Disclaimer Acknowledgement: I have read the above disclaimer and agree to participate at my own risk, without further liability to the facility, hosts, instructors or guests involved in this program. *

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Registration for 2017 MBC Biggest Loser Program

Registration Form

Emergency contact information: