Lose To Win - F.U.N. (Begins March 9th)
Fierce Urgency of Now:  
It's time to examine our lives and make the changes we know are necessary to improve in critical areas, such as our overall health. Now is the time to stop wasting time in 2024  for a healthier 2025!
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FIRST AND LAST NAME *
PHONE NUMBER: *
EMAIL ADDRESS:
Each participant must have their own email address.
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GENDER *
Age group:  *
Who referred you to the Stone Lose to Win Challenge? If no one, answer "NA" *
Is this your first time participating in any Lose to Win challenge? *
What is your MAIN goal for participating in Lose to Win? *
CONSENT and LIABILITY WAIVER:
I am voluntarily participating in the Stone Lose To Win Challenge of my own free will. I have been advised to consult my primary care physician prior to beginning any weight loss or exercise program.  I understand I am fully responsible and Cornerstone Baptist Church (CBC) and/or the Cornerstone Special Events Ministry assume no liability for injuries to me during the course of the contest. Further, the undersigned releases Cornerstone Baptist Church, and Cornerstone Special Events Ministry from all claims for damages whatsoever the undersigned or his/her representatives may have against CBC. I have been informed that being overweight, suffering from any physical ailments, or being over the age of 40 puts me at an increased risk for injury. My typed signature below indicates I understand the above information and give my consent.
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Must select BOTH boxes below to participate.
Required
CONSENT TO PARTICIPATE: Must type Your FIRST AND LAST name.  *
PAYMENT - After submitting this form, you will be provided with a link to pay the registration fee.   *
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