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Creating a healthier tomorrow...Creating a healthier you!

LIABILITY RELEASE STATEMENT: (By electronically initialing and submitting this form, team captains agree that all participants have read and understand this statement prior to participating in Dump Your Plump).   Submission of this electronic form indicates that participants agree to voluntarily participate in the Dump Your Plump Program, and do not have a medical problem that would prohibit daily exercise such as walking.  If participants have any doubts about their physical capacity for exercise, they should consult a physician before undertaking any physical activity. It is agreed to not hold sponsoring organizations, their employees or any individual connected with this contest liable for any liability incurred as a result of this contest.

If a participant answers yes to any of the following questions, that individual agrees to seek medical approval prior to beginning any exercise program.

  • Are you a male over 40 or a female over 50 who is unaccustomed to vigorous activity?
  • Have you ever had a heart attack?
  • Has a doctor told you that you have high blood pressure, heart murmur, heart or lung disease?
  • Do you ever have chest, neck, shoulder, or arm pains or pressure during or after exercise?
  • Are you taking any medications for your heart?
  • Do you frequently feel dizzy or have spells of severe dizziness?
  • Have you recently had any acute infectious diseases?
  • Have you had previous medical advice not to exercise?
  • Do you have any joint problem that could be made worse by exercise?
  • Do you have a family history of cardiovascular disease?
  • Has it been more than three years since you had a medical check-up?

Registration Cost:  $10 per participant - Captains compete FREE!

SUBMIT your team's registration form.  The opportunity to pay your team's registration fee on-line through PayPal follows.  
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