#MBCBiggestloser

Get Pumped up for the 2017 Biggest Loser Program!
Pre-Register Today!
Middletown Baptist Church
  • HOME
    • NEWS!
    • BULLETINS
    • PRAYER REQUESTS
  • JOIN US!
  • CALENDAR
  • OUTREACH
    • MOVED BY THE SPIRIT >
      • T-Shirt Order Form
    • MISSIONS
    • ANNA'S BLESSING QUILT MINISTRY (Prayer Quilts) >
      • Request A Quilt
    • SECOND HAND FOR A SECOND CHANCE
  • YOUTH
  • LOCK-IN
  • BIBLE STUDY
  • WMU
    • Girls in Action
    • Royal Ambassadors
  • CONTACT US!

Registration for 2017 MBC Biggest Loser Program

    Registration Form

    Open to anyone ages 10-18!
    MM/DD/YYYY
    ANYTHING YOU THINK WE NEED TO KNOW MEDICAL, PERSONAL OR OTHERWISE

    Emergency contact information:

    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.
    By printing your name here you are acknowledging that you have read and agree to the above disclaimer.
CONTINUE
Powered by Create your own unique website with customizable templates.
Photo used under Creative Commons from WestonEyes
  • HOME
    • NEWS!
    • BULLETINS
    • PRAYER REQUESTS
  • JOIN US!
  • CALENDAR
  • OUTREACH
    • MOVED BY THE SPIRIT >
      • T-Shirt Order Form
    • MISSIONS
    • ANNA'S BLESSING QUILT MINISTRY (Prayer Quilts) >
      • Request A Quilt
    • SECOND HAND FOR A SECOND CHANCE
  • YOUTH
  • LOCK-IN
  • BIBLE STUDY
  • WMU
    • Girls in Action
    • Royal Ambassadors
  • CONTACT US!