Participant Information Exercise Equivalent Chart Weekly Activity Log Participation Agreement Waiver and Indemnity Agreement

Similar documents
Participant Information Exercise Equivalent Chart Weekly Activity Log Participation Agreement Waiver and Indemnity Agreement

ATHLETE START UP QUESTIONNAIRE The first step in the coaching process is filling out the athlete questionnaire. Once completed, back to me.

Waiver, Release and Hold Harmless Agreement Personal Training Services

Other Types of Physical Activity. Assessment Background Information Tips Goals

Linn-Benton Community College SPRING 2013 PE 185A: CIRCUIT WEIGHT TRAINING

Talisman Therapeutic Riding, Inc. PO Box 300, Grasonville, MD

In the first week you should focus on building strength and balance this will help prevent

Linn-Benton Community College Winter 2017 PE 185A: CIRCUIT WEIGHT TRAINING -- CRNs: 32301, 32302

By the end of the lesson, you will be able to:

Civilian Wellness and Civilian Fitness Program (AR Health Promotion)

Gym Memberships. The cost of the membership is per month, plus a one off cost of 5 for the band.

Trees Hall. Bellefield Hall

Team Member Packet Paper Registration

Promoting Physical Activity in Ireland Promoting Physical Activity in Ireland

2017 FIT FOR LIFE: 6 Week Program Stay Fit Through The Holidays Fall 2017: October 30 th December 15 th

REQUIREMENTS: PROGRAM INCLUDES: IMPORTANT DATES: CHALLENGE WINNERS: HOW DO I PARTICIPATE IN AUBURN STRONG?

Sports Medicine Policy and Procedures Try-Out Checklist

SNM Week 6- DI 2.4- Employee Wellness Program or Contest

Request For Proposal: RFP #

Jumpstart, Fitness Assessment, & Body Composition

Fitness Fever Requirements Application Process Upon acceptance into the Fitness Fever program, participants will receive Application Checklist

WAIVER AND RELEASE FROM LIABILITY

Emergency Contact Name: Emergency Contact #:

Go Red For Women BetterU Challenge Sponsored by Central Trust & Investment and Empire Bank. Take A Challenge That Could Save Your Life!

Young Ushers Program

Physical Activity Explanations and Guidelines

LIFEGUARDING CERTIFICATION CLASS

Think fit! Be active! challenge

WEEKLY PRIZES: $20 gift card to Scheels (2), Finish Line, Cabelas, and Ski and Bike Shop (or local sporting good stores near you).

Recovery and Wellness through Cryotherapy Egan Drive* Suite 191* Savage, MN 55378* *cryostrong.com. Physical Readiness Questionnaire

Parkinson s Programs. Lake Forest Health & Fitness Center 1200 North Westmoreland Road Lake Forest, Illinois 60045

Whether you will be traveling or staying home this summer, we ve got the perfect incentive for you to stay active all season long!

The University of Texas at Dallas Department of Recreational Sports Nutritional Guidance Registration Form

Personal Training Health Screening Questionnaire

Gore-Tex TransAlpine Run 2016 Training Plan for Novice Runners

Empowering Weight Loss Charts & Logs Healthy Weight Chart Cholesterol Chart Blood Pressure Chart Exercise Calorie Burning Chart

CASPER COLLEGE COURSE SYLLABUS PEAC Physical Fitness and Wellness III LECTURE HOURS: 0 LAB HOURS: 2 CREDIT HOURS: 1

Application to Livingston Robotics Club Season Part A: Student information. Name: (Student) Home Address:

LECTURE HOURS: 0 LAB HOURS: 2 CREDIT HOURS: 1. CLASS TIME: TBA DAYS: MTWTHFS ROOM: Fitness Center 163

(770) City of Spring Hill 1 st 4 weeks Workout Program

CANADIAN PHYSICAL PERFORMANCE EXCHANGE FITNESS STANDARD FOR TYPE 1 WILDLAND FIRE FIGHTERS (WFX-FIT) SIX WEEK TRAINING PROGRAM

Session 13. Fitness and Exercise. Teacher Notes. Physical Fitness. Aerobics (Cardio) Muscular Strength. Stretching. Stability (Balance)

Personal Training Registration Packet

Phlebotomy Training Pre-Admission Application

Running head: CROSSFIT VS. TRADITIONAL EXERCISE BIERHAUS 1

VOLLEYBALL ATHLETES STRENGHTH/CONDITIONING WORK OUT

EXTERNAL TRAINER AGREEMENT. THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and -

EXTERNAL TRAINER AGREEMENT. THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and -

JDRF Hampton Roads Youth Ambassador Program Description

Why Does Physical Activity Matter?

Pedaling for Parkinson s Colorado What is Pedaling for Parkinson s?

Gore-Tex TransAlpine Run 2017 Training Plan for Novice Runners

Academy Physical Preparation

USAACE and Fort Rucker Civilian Fitness Enrollment Packet Guide

2011 Greek Advance Registration Packet

Trees Hall. Bellefield Hall. Add a Fitness Center Membership for a small additional price!

Eau Claire Tower Fitness Centre MEMBERSHIP APPLICATION

The University of Michigan

Purpose: To inform all employees of the guidelines regarding the correct use of the Employee Gym.

Personal Training New Client Packet Personal Training/Fit for Hire

% Yes % No. 279 Respondents

Personal Training Intake Form

Individual Volunteer Profile

APPLICATION INSTRUCTIONS

REFEREES PHYSICAL TRAINING PLAN 2016 summer competitions

Personal Training Information Packet

Byron-Bergen Central. School District. Fitness Room. Gillam Grant Community Center Community Education Program

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 7 8 ***** 9 OYO 10 OYO 11 OYO Workout 1 Workout 2 Workout 3

JMC House Advisor Application Information Packet

2015 Intermediate Level Triathlon Training Program By Sean Molina

Please complete the medical history section below so that we can be sure to respond to any

ADULT PRE-EXERCISE SCREENING TOOL

Coach on Call. Thank you for your interest in Being Active to Prevent or Treat Osteoporosis. I hope you find this tip sheet helpful.

LEGAL DISCLAIMER: **IMPORTANT: This e-book is copyrighted. To copy, share, or reproduce is in violation of the law and prosecution will be enforced.

Welcome to the Cedar Grove-Belgium Fitness Center

Mount Morris Central School. Fitness Room. Procedures, Rules, and Required Forms

Saturday & Sunday, July 18-19

Day Session Component Monday 1 Gym workout 1 Monday (week 1-3) Wednesday 1 Gym workout 2 Wednesday (week 1-3)

Learn at Home: Nutrition Lessons for Healthy Living. MyPyramid Basics. Carefully read this lesson. It should take about minutes to complete.

Oxford Parks & Recreation Department. Fit After 50 Workout Center. Membership Packet

Socorro ISD Physical Packet Student Athlete Information Sheet (Clearly Print all information in Black or Blue Ink only.)

Register your team now and begin fundraising to support United Way and win prizes!

CHILDREN'S ADVOCACY CENTER of Laredo Webb County Volunteer Application

FRA 105 Weight Training Spring 2018

REFEREES PHYSICAL TRAINING PLAN Preseason

Family Application: Nanny / Mother s Helper

City State Zip. Home Phone Mobile Phone. Can we text you appointment reminders? Yes / No If yes, who is your wireless carrier?

Welcome to the CANYON WELLNESS PROGRAM!

FOR MORE INFORMATION: Sara M. Billings, Assistant Recreation & Wellness Director

Under 15s. Off-Season Programme Phase 1: General Conditioning Development

Fitness Center Guidelines

Warrior Personal Training Registration Packet

TEAM NECC 2018 Boston Marathon

City of Tacoma Employee Wellness Centers

SPRING PROGRAM GUIDE

60 DAY KETO. challenge workouts WORKOUTS WEEK 5-8

1 st Thursday Participation Benefits

Cougar Employee Wellness Program WASHINGTON STATE UNIVERSITY

WARRIOR WORKOUT BONUS SERIES

14 Week INTERMEDIATE HALF MARATHON (21km) TRAINING PLAN

Transcription:

Participant Information Email Exercise Equivalent Chart Weekly Activity Log Participation Agreement Waiver and Indemnity Agreement

PLEASE POST THIS EMAIL ON COMMON USE AREA BULLETIN BOARDS AT YOUR UNIT OR DEPARTMENT To: All Win Representatives and Interested Employees Subject: Fourth Quarter Chairman s Challenge What a successful challenge we have had so far in 2013! We have exceeded our goals for each quarter thus far. Now it is time to begin the fourth quarter Chairman s Fitness Challenge for Our Steps to 13 in 2013. Participation in this challenge is a good way to incorporate exercise and fitness into your summer routine and continue your pursuit of improved health and fitness. Below is information for the Fourth Quarter 2013 Challenge. Please note the addition of the Chairman s Gold Challenge. Challenge Dates: o Monday, June 17, 2013 through Sunday, July 28, 2013. Enrollment Dates: o Monday, June 3, 2013 through Friday June 14, 2013 at 9:00am o WIN representatives, please provide the total number of employees participating to Kathy Brannon at KBR2346, by 5:00pm on Friday, June 14, 2013. Administrative Leave: o Mr. Livingston has authorized four hours of administrative leave for full time employees and two hours for part time employees who successfully complete the six-week program in its entirety. Fourth Quarter Requirements: o 250 points each week for the basic Chairman s Challenge; (minimum requirement to qualify for admin leave); o New for the 4 th quarter is the addition of 1,000 points weekly for the Chairman s Gold Challenge; and o 2,500 points weekly for the Chairman s Platinum Challenge; and WIN representative, when an employee signs up please provide them with the Participation Agreement Waiver form and the Indemnity Agreement form, the participant information page (copy of this email), and the 2013 Exercise Equivalents Chart.

Changes to Exercise Equivalents Chart o One of the most important things in weight loss and physical fitness is regular cardio exercise. In an effort to encourage participants, Chairman Bell has increased the points value for cardio related exercises on the 2013 Chairman s Challenge Exercise Equivalents chart. Challenge Rules o Employees must sign up with their WIN representative between June 3, 2013 and June 14, 2013. o Participants must report their total weekly points by the end of the day each Monday for the duration of the challenge. In order to successfully complete the 4 th quarter challenge, participants must report at least 250 points per week. Gold participants must report at least 1,000 points weekly, and Platinum participants must report 2,500 points (or more) weekly for the entire challenge to qualify in these categories. o Participants may use any of the physical activities listed on the 2013 Exercise Equivalents Chart in order to earn the required points per week minimum. Only the physical activities listed on the chart will count toward an employee s weekly points, but remember to be creative! For example, if an employee climbs stairs at their job every day they may use that as part of the climbing activity to assist them in getting their total points for the week. Please remember that the point values for spinning, walking casual/stroll, brisk walking, jogging, running, swimming, increased during the second quarter and push-ups, sit-ups, crunches, etc. are now all one category titled core exercises. On Tuesday of each week, the WIN representative must report the total number of participants (no names, please) and the total number of points by using a standardized reporting format. This will ensure the correct unit or department will be credited with an accurate count of weekly results. The requested reporting format is provided below: Week #: Unit or department name: Total number of participants (no names please): Total number of weekly points: List of gold participants (individually with points): List platinum participants (individually with points): If you have any questions regarding the 4 th Quarter Chairman s Challenge, please contact Kathy Brannon by phone at 936-437-4151, by mainframe email at KBR2346, or internet email at Kathryn.Brannon@tdjcj.state.tx.us. Wishing everyone improved health and fitness! Thank you, Nancye Gardner TDCJ Wellness Coordinator

2013 Chairman s Challenge Exercise Equivalents Activity Actual Miles/Minutes Points Value Core Exercises (Sit-ups, Push-ups, Crunches, etc) 2 minutes as many as possible 1 point each Deep Squats 2 minutes as many as possible 1 point each Weight Lifting Per Repetition 1 point Yoga/Stretching 30 minutes 15 points Walking, casual/stroll (2-3 mph) 20 minutes 15 points Walking, brisk (4 mph/12 to 15 min. mile) 1 miles 25 points Jogging, Running (5.5 mph) 1 mile 30 points Cycling/Mountain Biking (13 mph) 7 miles 20 points Spinning 30 minutes 30 points Aerobics/Zumba (moderate intensity) 30 minutes 20 points Stairmaster/Elliptical (moderate intensity) 15 minutes or 1 mile 20 points Rollerblading 3 miles 20 points Swimming (laps) 200 meters or 30 minutes 25 points Dancing, moderate to rapid 30 minutes 20 points Team Sports 30 minutes 20 points Gardening (planting, raking, weeding, etc.) 30 minutes 15 points Yard Work (push mowing, digging etc.) 15 minutes 15 points Gym workout 30 minutes 20 points Climbing stairs 15 minutes 15 points Spring Cleaning (or heavy housework) 30 minutes 10 points The exercise equivalents were developed so participants who enjoy activities in addition to walking can log credit for those different activities. The exercise values have been estimated by average caloric burn for a 150-pound person exercising at moderate intensity levels for 30 minutes. The primary goal of the Chairman s Fitness Challenge is to encourage people to participate in regular physical activity to increase overall health. Remember to be creative. Climbing stairs may include climbing stairs at your job. Walking may include the number of steps you take in a day. Walkers may wear a pedometer all day and report their total miles for the day by dividing their steps by 2000. Fourth Quarter, FY 2013 May 30, 2013

Our Steps to 13 in 2013 Chairman s Fitness Challenge Activity Sheet Name: My Weekly Point Goal: Day Activity Points Monday Tuesday Wednesday Thursday Friday Saturday Sunday Total Points

TDCJ Wellness Initiative Now Participation Agreement Please read each of the following statements carefully and initial in the space provided. Your signature at the bottom of this form represents your acknowledgement and understanding of the guidelines set forth in this document. I desire to voluntarily participate in the programs and/or use the facilities and equipment provided by the TDCJ Wellness Initiative Now for the purpose of personal fitness. In consideration of the right and privilege of being permitted to participate in these programs and/or to have access to and the use of said facilities and equipment: I do hereby agree to the conditions set forth herein and acknowledge that the voluntary participation in any programs and/or access to and use of facilities and equipment is not a condition of employment, is not related to my employment and therefore, should any injury occur as a result of my participation in the aforesaid programs and/or use of facilities and equipment, such injuries will not be covered by workers compensation. I acknowledge that I am fully aware that there may be risks for certain individuals participating in activities involving physical exertion. I acknowledge that whether I consult my physician before participating in these activities is my decision. I agree to withdraw from the programs and/or discontinue use of these facilities and equipment should I become aware by any means whatsoever that participation is medically contraindicated. I agree to notify the unit/department wellness representative if I detect any hazards or defects in any of the facilities or equipment to which I am allowed access for these activities. I agree to accept full responsibility for any injuries sustained while participating in a fitness program or using facilities and equipment made available for that purpose. If I fail to meet the conditions described herein under which access to and use of the programs, facilities and/or equipment is being allowed. I acknowledge and affirm that I have carefully read the guidelines and have obtained a satisfactory explanation of any part thereof that I do not understand. Printed Name Position Unit/Department WIN Coordinator Participants Signature Date

TDCJ Wellness Initiative Now Waiver and Indemnity Agreement I,, in order to use any premises or equipment belonging to TDCJ and to participate in the Wellness Initiative Now Program, do hereby release the Texas Department of Criminal Justice, its agents and employees, the Texas Board of Criminal Justice, and the State of Texas, its agents, employees, and political subdivisions thereof, from any claims, actions, litigation (to include attorneys fees), and responsibility of liability for any injuries, illness, disability or death that may arise, directly or indirectly, from my use of any fitness room or equipment belonging to TDCJ or otherwise participating in the Wellness Initiative Now Program. In addition, I agree to hold harmless and indemnify the Texas Department of Criminal Justice, its agents and employees, the Texas Board of Criminal Justice, and the State of Texas, its agents, employees, and political subdivisions thereof, from any costs, claims, actions, litigation (to include attorney s fees) arising, directly or indirectly, from my use of any premises or equipment belonging to TDCJ or my participation in the Wellness Initiative Now Program with respect to damage to property and injury to other persons. Employee Signature Date