SUMMER SHAPE UP HEALTHY LIVING Summer Wellness Challenge Get fit this summer with our 6-week wellness program to help get you started or maintain your exercise program. Teams of 4-6 members will have the opportunity to earn daily and weekly points throughout the challenge. Prizes will be awarded to the top 3 individuals and teams with the highest overall points! Challenge Dates: July 8 - August 16 Register: June 10 - July 15 at your Welcome Center Cost: $5 (Summer Shape Up t-shirt) (Sign-up as a team, as a family, or as an individual and we’ll find a team for you) HELP OTHERS KICK IT UP A NOTCH BECOME A TEAM CAPTAIN Interested in leading a team for the 2013 Summer Shape Up Challenge? Help encourage, motivate and lead your team through a successful 6 weeks. Here’s how: • • • • You and a team of 4-6 members register at the Welcome Center. Create a team name. Attend a team leader meeting the week of June 18. Have fun and keep your team going strong during the challenge. YMCA Mission: To put Judeo-Christian principles into practice through programs that build healthy spirit, mind and body for all. REGISTRATION Last Name:____________________________________________________________________________ First Name:______________________________________________________ Sex: M or F DOB: _____________________ /____________ /___________________ Mailing Address: ____________________________________________________________________________________________________________________________________________ City:______________________________________________________________________ Zip:________________________Home Ph:______________________________________________ Cell Ph:______________________________________________________________________ Work Ph:______________________________________________________________________________ Email:_________________________________________________________________________________________________________________________________________________________________ Emergency Contact:______________________________________________________________________________________ Phone:______________________________________________ How did you hear about Fit for Fiesta? Member Y App Website Flyer Staff T-Shirt Size: (unisex adult) S M L XXL XL WAIVER I acknowledge the mission of the YMCA of Greater San Antonio is to put Judeo-Christian principles into practice through programs that build healthy spirit, mind and body for all. The YMCA prohibits any person obtaining or carrying weapons in YMCA facilities, at YMCA programs or on YMCA property. I assume the responsibility for injuries sustained while participating at the YMCA in YMCA programs or activities. I will hold the YMCA of Greater San Antonio and its directors, officers, employees, volunteers and other agents harmless for incidents which may arise from participation in YMCA programs and activities, realizing that there are risks in these activities. The YMCA may use my likeness for promotional purposes. I understand there are no refunds for the duration of this program. _____________________________________________________________________________________ Signature Date YMCA Mission: To put Judeo-Christian principles into practice through programs that build healthy spirit, mind and body for all.
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