Vamos Flemington Registration Form
Please complete the registration form below to be entered into the Vamos Flemington "Lets Get Health" Challenge! Upon completion and within 1 hour, you will receive an email (check spam folder if you do not receive) with your participant ID that will be used for tracking your MOVE minutes and earning points. If you have trouble with registration, please send email to
Prefer not to say
Home Zip Code
Select your team from below list. If you would like to create a new team, select "other" and write in. If you do not have a team, select "unattached"
Central New Jersey Libertarian Party
Family Success Center
Flemington Community Partnership
Hunterdon Chamber of Commerce
Hunterdon Healthcare System
NORWESCAP HEAD START
Team Shop Rite of Flemington
United Way of Hunterdon County
(para español, haga clic aquí
) Participant has decided to participate in a Fitness Initiative sponsored by Pro-Activity Associates, LLC (Pro-Activity), the United Way of Hunterdon, and the Flemington Community Partnership, collectively "Releasees". The Fitness Initiative may be administered by Pro-Activity Associates, LLC or a party Pro-Activity allows to use and or rent facility space. Participant acknowledges that Participant is voluntarily participating in the Fitness Initiative solely for the Participant’s benefit and that the initiative event(s) may not be staffed. Participant will not be charged for his/her participation in the Fitness Initiative which is a substantial benefit based on the prevailing market cost for services of this nature. In consideration therefore, Participant hereby agrees to release Pro-Activity and Releases from any and all liability connected with the Participant's participation in the Fitness Initiative, INCLUDING LIABILITY RESULTING FROM THE NEGLIGENCE OF PRO-ACTIVITY AND RELEASEES as follows:Participant, Participant's representatives, Personal Representatives, heirs, successors and assigns do hereby completely release and forever discharge PRO-ACTIVITY and all of its affiliated or related companies, divisions or entities, and its/their officers, directors, shareholders, agents, employees, successors and assigns, (collectively “Releasees”) from any and all claims, rights, demands, actions, obligations, liabilities and causes of action of any kind, nature and character whatsoever, known or unknown, including claims for attorney's fees, AND FURTHER INCLUDING WITHOUT LIMITATION CLAIMS RESULTING FROM THE NEGLIGENCE OF PRO- ACTIVITY AND RELEASEES which Participant may now or ever may have against PRO-ACTIVITY and Releasees arising from or in any way connected with the Participant's participation in the Fitness Initiative.Participant hereby covenants and agrees that to the extent permitted by law (A) Participant will not file or cause to be filed any claim, charge, complaint, demand, action or cause of action against PRO-ACTIVITY and Releasees in any court of law or before any administrative agency, federal, state, or local, INCLUDING WITHOUT LIMITATION CLAIMS RESULTING FROM THE NEGLIGENCE OF PRO- ACTIVITY AND RELEASEES; and, (B) Participant will not initiate or cause to be initiated against PRO-ACTIVITY and Releasees any suit, action, investigation or proceeding of any kind, or participate in the same, individually or as a representative or member of a class, based upon any contract (express or implied), law, regulation, federal, state or local, relating in any manner whatsoever to the Fitness Initiative.THIS IS A FULL AND GENERAL RELEASE APPLYING NOT ONLY TO ALL SUCH CLAIMS, RIGHTS, DEMANDS, ACTIONS, AND OBLIGATIONS THAT ARE PRESENTLY KNOWN, ANTICIPATED AND DISCLOSED TO PARTICIPANT, BUT ALSO TO ALL SUCH CLAIMS, RIGHTS, DEMANDS, ACTIONS, AND OBLIGATIONS THAT ARE PRESENTLY UNKNOWN, UNANTICIPATED AND UNDISCLOSED TO PARTICIPANT, INCLUDING WITHOUT LIMITATION CLAIMS RESULTING FROM THE NEGLIGENCE OF PRO- ACTIVITY AND RELEASEES. By checking the "Yes" mark below, Participant represents that Participant has read this PRO-ACTIVITY GENERAL RELEASE AND WAIVER, that Participant is fully aware of its contents and legal effect, that Participant is executing this GENERAL RELEASE AND WAIVER freely, without coercion, based on Participant's own judgment and not in reliance upon representations or promises other than those expressly contained in this GENERAL RELEASE AND WAIVER. This GENERAL RELEASE AND WAIVER is contractual and not a mere recital.This GENERAL RELEASE AND WAIVER shall be construed and be governed by the laws of the State of New Jersey.
Never submit passwords through Google Forms.
This form was created inside of Pro-Activity Associates, LLC.
Terms of Service