Global Employee Body Challenge ’04!
INITIAL WEIGH-IN FORM
Challenger’s Name: ____________________________________________________________________________________________
DCI Office Location: ____________________________________________________________________________________________
Team (optional): ________________________________________________________________________________________________
MANDATORY MEASUREMENTS:
U.S.
Weight: _____________________________
INT’L Body Fat: ______________________
Waistline: ___________________________
Waistline: ___________________________
ACCURACY OF INFORMATION:
I certify that the above information is true and accurate to the best of my knowledge.
I have selected a witness “buddy” to certify the accuracy of my mandatory measurements.
Signature of Body Challenger
Date:
___________________________________________
__________________________________
OPTIONAL FITNESS TESTS:
(See Rob Wood’s Fitness Testing in GEBC ’04 guide.)
3-Minute Step Test:
Initial: ________________
Sit-ups per minute:
Initial: ________________
Push-up Test:
Initial: ________________
Squat Test:
Initial: ________________
Don’t forget to log in to the GEBC ‘04 tool to update your measurements!
Submission of Initial Weigh-In form (only) is required.
www.in2nutrition.com/gebc
Please keep copy for your records
Global Employee Body Challenge ’04!
MIDPOINT WEIGH-IN FORM
Challenger’s Name: ____________________________________________________________________________________________
DCI Office Location: ____________________________________________________________________________________________
Team (optional): ________________________________________________________________________________________________
MANDATORY MEASUREMENTS:
U.S.
Weight: _____________________________
INT’L Body Fat: ______________________
Waistline: ___________________________
Waistline: ___________________________
OPTIONAL FITNESS TESTS:
(See Rob Wood’s Fitness Testing in GEBC ’04 guide.)
3-Minute Step Test:
Initial: ________________ Midpoint: ______________
Sit-ups per minute:
Initial: ________________ Midpoint: ______________
Push-up Test:
Initial: ________________ Midpoint: ______________
Squat Test:
Initial: ________________ Midpoint: ______________
Don’t forget to log in to the GEBC ‘04 tool to update your measurements!
www.in2nutrition.com/gebc
Global Employee Body Challenge ’04!
FINAL WEIGH-IN FORM
Challenger’s Name: ____________________________________________________________________________________________
DCI Office Location: ____________________________________________________________________________________________
Team (optional): ________________________________________________________________________________________________
MANDATORY MEASUREMENTS:
U.S.
Weight: _____________________________
INT’L Body Fat: ______________________
Waistline: ___________________________
Waistline: ___________________________
OPTIONAL FITNESS TESTS:
(See Rob Wood’s Fitness Testing in GEBC ’04 guide.)
3-Minute Step Test:
Initial: ________________ Midpoint: ______________ Final: ______________
Sit-ups per minute:
Initial: ________________ Midpoint: ______________ Final: ______________
Push-up Test:
Initial: ________________ Midpoint: ______________ Final: ______________
Squat Test:
Initial: ________________ Midpoint: ______________ Final: ______________
Don’t forget to log in to the GEBC ‘04 tool to update your measurements!
www.in2nutrition.com/gebc