REGIST Registra ti ER NOW on ends April 23, 2017 TWO TIMES THE TRIUMPH LOSE BIG: DOUBLES EDITION An Accelerated Challenge April 23-June 11, 2017 The Y’s Lose Big program has seen amazing results over the past six years. Hundreds of individuals have successfully transformed their bodies with this fun program that stresses accountability! How do we improve on an already awesome program? We add a friend, significant other, spouse, parent, child, that’s how! Introducing our 2017 Lose Big Challenge-Doubles Edition. Studies show you will push yourself harder and stay more motivated if you participate in any fitness program with a partner. Pair up and get ready to have some fun during our 7-week challenge program. Register with a partner for this accelerated challenge and LOSE BIG! “...27 pounds/14.14% lost since January 5, 2017. What an amazing, wonderful journey this has been. When I signed up, I thought I had zero chance of winning. My goal was to lose 11 pounds in 11 weeks. I felt that would be a good start to the year. With the help and support of my Coach and teammates, I decimated my goal, reveled in each new ability/accomplishment, and grew stronger mentally and physically. I couldn’t have done it without the support of my family (especially Mark and Ian), friends, teammates, and Coach Dorian. Thank you for believing in me!” - Julie $65 (per person) Members $220 (per person) Public Public price includes individual Y basic member privileges for the duration of the program. All fees are nonrefundable. PARTICIPANTS: • Must be cleared by a physician and, for health reasons, want to lose 20 or more pounds (Par Q form available on our website at springfieldymca.org) • Must be14 years or older • Pairs will select a team based on their schedule preference • Must attend a nutrition class FIT17 PROGRAM KICKOFF FOR ALL PARTICIPANTS: APRIL 23, 2017 Each location will have their kick off at 2 p.m. Kerasotes Team Workouts/Coaches: Bo on Wednesdays at 5:30AM Brittani on Thursdays at 7:30PM Downtown Team Workouts/Coaches: Jessica on Wednesdays at 6:45PM Dorian on Fridays at 11:00AM “I gained confidence. Slowly but surely, my clothes began to fit again, and I even had to purchase new, smaller sizes. My face and body became more defined. I began to feel good about myself again for the first time in a long time.” - Jamie, 2016 The winning pair at each location will be determined by the greatest percentage of total weight loss per pair during the competition. There will also be special team vs team challenges throughout the 7-week program. Please see our website at springfieldymca.org for complete program details. Registration Form (One form per person. Partners must register and pay using separate forms) Name_________________________________________________________________________________ Birth Date______________________ Age_________ Partner Name________________________________________________________________________________________ Address_______________________________________________________________________ City __________________________________ Zip _____________ Home# __________________________________________ Cell# _______________________________________ Work#___________________________________ Email__________________________________________________________________________ Emergency Contact______________________________________ Weight___________ Height___________ Please select your last chance workout from above _______________________________________________________________________________ I would like to make a gift to help a child participate in Y programs. I am adding $_______ to my Lose Big registration for the YMCA Strong Kids Scholarship Fund. All gifts are tax deductible. I hereby register for the Lose Big Challenge. I allow the YMCA to seek emergency care for me if required. I also grant the YMCA permission to use photographs of me in promotional materials such as brochures, ads, website or newspaper releases. I will not be informed or reimbursed for such photographs. Signature______________________________________________________________________________________________________ Contact Adrian Akers [email protected] 217.544.9446, ext. 137 Date__________________ Office Use Only: Amount Paid_________________ Date__________ Staff_____________ 17FIT
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