Better Me Fitness Phone: 585-475-2652 Email: [email protected] Website: rit.edu/betterme/fitness ‘Eye of the Tiger’ Weight Loss Challenge 2012 Contestant Application Name: _____________________________________________________________________ Email: ______________________________________________________________________ Phone #: ___________________________________________________________________ Gender: Male or Female Current Weight: ______________________ Height: _________________________ Please check one: Faculty______ Staff______ Student______ Please provide a brief personal statement describing the following: Why you would like to compete in the ‘Eye of the Tiger’ Weight Loss Challenge? Why do you think you should be selected as a contestant? How do you think you and your lifestyle will benefit from participating in the challenge? Please provide any other information that you feel is relevant. Your signature below implies that you understand and agree to the guidelines and terms of the ‘Eye of the Tiger’ Weight Loss Challenge on the back of this application, if selected. Signature Date Better Me Fitness Phone: 585-475-2652 Email: [email protected] Website: rit.edu/betterme/fitness ‘Eye of the Tiger’ Weight Loss Challenge Guidelines and Terms General Challenge Information The value of the „Eye of the Tiger‟ Weight Loss Challenge is worth approximately $1,500 per contestant. No fees will be incurred by the two selected contestants. Interested applicants must complete and submit the Better Me Fitness „Eye of the Tiger‟ Weight Loss Challenge Contestant Application and Client History Health Form, as well as obtain and submit a doctor‟s release no later than Friday, December 16, 2011. See the “How to Apply” section below for more information. Two contestants will be selected by Joseph Delgado and Jacques-Luis Nodar, Better Me Fitness program managers and Certified Personal Trainers, and notified via email by December 23, 2011. Applicants may need to meet with Joe Delgado and Jacques-Luis Nodar prior to a final decision being made. The challenge begins on January 16, 2012. At this time, each contestant will be assigned to either Joe Delgado or Jacques-Luis Nodar and will meet with their assigned personal trainer for a personal consultation and fitness assessment, including a resting metabolic rate test. Assessments will be followed by a customized meal plan session with Colleen Surek, Better Me Registered Dietitian. Each trainer will design a fitness and strength program for their respective contestant with weekly interaction, instruction, and goals provided by each trainer. The challenge runs for 13 weeks and ends Friday, April 13, 2012. The challenge winner will be determined based upon the total percentage of body weight loss with the challenge timeframe. How to Apply The Better Me Fitness „Eye of the Tiger‟ Weight Loss Challenge is open to all RIT students, faculty, and staff. Interested applicants must complete and submit the following to apply for the challenge: 1) Better Me Fitness „Eye of the Tiger‟ Weight Loss Challenge Contestant Application 2) Client Health History Form 3) A doctor‟s release statement. The above completed application materials must be submitted to Beth Livecchi, Better Me Fitness, via email at [email protected] or fax at 585-475-2550 no later than Friday, December 16, 2011. Two contestants will be selected by Joseph Delgado and Jacques-Luis Nodar, Better Me Fitness program managers and Certified Personal Trainers, and notified via email by December 23, 2011. Applicants may need to meet with Joe Delgado and Jacques-Luis Nodar prior to a final decision being made. Terms of the Challenge Selected contestants must agree to the following „Eye of the Tiger‟ Weight Loss Challenge guidelines. Must dedicate a minimum of 7 hours per week for the duration of the challenge (13 weeks). Must maintain a food log and journal of the experience. Agree to have results publicized periodically throughout the challenge. Complete and submit the contestant application, client health history form, and a doctor‟s release.
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