COMING SOON Warrior Weight Loss Challenge!!!! January 17, 2017 through March 17, 2017 John L. Berrey Fitness Center!!!

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1 COMING SOON Warrior Weight Loss Challenge!!!! January 17, 2017 through March 17, 2017 John L. Berrey Fitness Center!!! Please see attached memo, registration form and rules/regulations!! If you have any questions, please feel free to contact me or Sherrie Nida, John L. Berrey Fitness Center Director!!!! Sherrie Nida (ext#2001)

2 WARRIOR WEIGHT LOSS CHALLENGE January 17, 2017 March 17, 2017 ~OPEN TO ALL~ Registration: January 12-13, John L. Berrey Fitness Center during normal business hours!! ~Registration is FREE!! If you are not already a member of the John L. Berrey Fitness Center you will receive a FREE 90 day membership upon registration!!~ There will also be 2 additional contests in conjunction with the Warrior Weight Loss Challenge Attached you will find the rules, regulations and registration form. If you have any questions, please contact me or Sherrie Nida, John L. Berrey Fitness Center Director. The contests and prizes are sponsored in part by the Southern Plains Tribal Health Board and the 2017 Good Health & Wellness Grant. Jami Rodgers, Quapaw Tribe Community Health Rep

3 Warrior Weight Loss Challenge Rules & Regulations ~~If you are not already a member of the John L. Berrey Fitness Center you will receive a FREE 90 day membership upon registration!!!!~~ RULES 1. The competition will have a men s division and women s division. 2. The Warrior Weight Loss Challenge will begin on Tuesday January 17, 2017 through Friday March 17, Initial registration will be Thursday January 12, 2017 and Friday January 13, 2017 during normal business hours. Initial weigh in will be January 17, 2017 and Final weigh in will be March 17, The weigh in will be recorded by a staff member of the John L. Berrey Fitness Center. If you are unable to make it to the weigh in on either of these dates, you must make arrangements with Sherrie Nida, Director John L. Berrey Fitness Center. 3. To weigh in: ~Must empty pockets ~Must remove shoes ~Cannot wear hoodie, sweat shirts, jackets, coats or jeans 4. Winners for the Warrior Weight Loss will be based on a percentage of weight lost. 5. There will not be a fee to participate. This is a free registration.

4 6. Prizes: Men s Division 1st Place: TBA Women s Division 1 st Place: TBA 2 nd Place: TBA 2 nd Place: TBA 3 rd Place: TBA 3 rd Place: TBA 7. As a contest participant, you are encouraged to participate in the monthly health screenings sponsored by the Quapaw Tribe CHR Program. 8. We will also have 2 (two) companion contest going on at the same time. You may participate in all 3 (three) contests. This is not a requirement. Contest #2 is Most Time Visiting the fitness center. Contest #3 is Most Time Spent Working out in Fitness Center. Daily and Weekly sign in sheets will be required. We will also be giving 1 st, 2 nd, and 3 rd place overall prizes in both companion Contests. 9. This contest and the 2 companion contests are open to everyone with the exception of the employees/staff of the Quapaw Tribe CHR Program and the John L. Berrey Fitness Center. Restrictions 1. If you have had a weight loss surgery in the last year, you are not eligible to participate in the challenge.

5 2. If you are currently or begin taking any diet medication, prescription or over the counter, you are not eligible to participate in the challenge. 3. Anyone that is pregnant or becomes pregnant during the challenge is not eligible to participate in the challenge. CONTESTS #1 Warrior Weight Loss Challenge #2 Most Times Visiting Fitness Center #3 Most Hours Spent in Fitness Center The contests are sponsored in part by the Quapaw Tribe CHR Program and the Southern Plains Tribal Health Board. The Quapaw Tribe CHR program has been awarded a 2017 Good Health and Wellness grant by the SPTHB and the Oklahoma Area Tribal Epidemiology Center in Edmond, Ok. If you have any questions, please contact Sherrie Nida, John L. Berrey Fitness Center Director or Jami Rodgers, Quapaw Tribe Community Health Program. snida@quapawtribe.com or jrodgers@quapawtribe.com

6 Warrior Weight Loss Challenge Registration Form Return forms by ing to or drop off at the John L. Berrey Fitness Center 907 Whitebird Lane Quapaw, OK (PLEASE PRINT) Name: Gender: Address: City: State: Zip code Phone: Waiver (must be signed)you agree that you are physically able to engage in any activity, program or training provided and agree that all exercises and the use of this facility are undertaking at your sole risk. You agree to adhere to all rules and policies established by the facility. You also agree to accept full responsibility for all personal belongings. Signature:

7 Jami Rodgers, CHR (ext#1007)

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