LIFT LIVE 2020 Registration
By completing this registration and pre-survey you will receive access to all resources shared for the N.C. Cooperative Extension LIFT. PLUS program. This is a full body strength training program suited for all ages and fitness levels. It will be offered on Mondays and Wednesdays from 11 am until noon beginning on June 1st, and ending on July 27th. Although we certainly encourage live participation, all sessions will be recorded and shared, so participants have the option of watching at their convenience. This program will focus on 8 core exercises but we will increase intensity as the program continues.

This joint-county program is being offered through the partnership of Hayley Cowell and Rhonda Peters, Family and Consumer Science Agents in Stanly and Montgomery counties. However, participants from across the state are welcome to join.
Email address *
Name *
Email *
I understand that when participating in any exercise or exercise program, there is the possibility of physical injury or feelings of soreness. If at any point during my workout I begin to feel faint, dizzy, or have physical discomfort, I will stop immediately and notify the instructor. By agreeing to participate in this program, you are aware of your health and ability to engage in strength-training exercises. If you are unsure of your health and ability, it is your responsibility to seek approval from your primary care physician before joining this program. Benefits of participating in physical activity may include, but are not limited to: Reduction of chronic disease, improvements in the management of chronic disease, and improvements in sleep, mood, appetite, and stress management. However, no promise or guarantee of benefits has been made to encourage you to participate. I understand that by participating in this program, I do so at my own risk, am voluntarily participating in these activities, assume all risk of injury to myself, and agree to release and discharge delivery personnel from any and all claims or causes of action. I understand that I may stop engaging in the program whenever I so choose. *
Consent: By signing this form, you are indicating that you are fully aware of what will be asked of you and that you agree to take part in this program. I have read the Consent Form and conditions of this program. I have had all my questions answered. I hereby acknowledge the above and give my voluntary consent (provide electronic signature below): *
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University. Report Abuse