2021 Health First Mayors' Fitness Challenge Registration
We are excited about this fifth-year anniversary of the Mayors' Fitness Challenge. The 2021 Health First Mayors' Fitness Challenge is a fun competition between municipalities in Brevard County to become the "Most Fit City." Participants register as a part of their city or town's team and then submit their weekly minutes of exercise starting on February 6, 2021 (We will send you the link every Friday.) The team with the greatest average number of minutes and participation rate (participants/registrants) will win the challenge. Participants can register until the end of the challenge (March 27), but t-shirt registration will end on January 8, 2021. Because of the pandemic, we ask teams to avoid scheduling gatherings. Individuals will input their minutes from individual workouts, walks, runs, biking, etc. We have also added private Facebook Groups for each team, and will be providing weekly virtual health and fitness education. Each year, Health First sponsors a Great Weight Off in conjunction with the challenge. The GWO participants who lose the highest percentage of weight loss, male and female, will win $500.
2021 Health First Mayors' Fitness Challenge
First Name *
Last Name *
Email *
Street Address *
City, State, Zip *
Telephone *
Please provide your Age (anyone under the age of 18 will need to sign and return a parental permission form found at https://online.uwbrevard.org/servlet/eAndar.WebExtDocument/3730303437/373334/parentalpermissionforchildren2021HealthFirstMayors.pdf) *
Municipality (choose your team) *
Are you participating in the Great Weight Off? (You must weigh in at a participating Health First facility. We will notify you for times and locations) *
Tobacco Use? (optional)
Clear selection
I am participating in a tobacco cessation program? (optional)
Clear selection
I am interested in learning more about tobacco cessation? (optional)
Clear selection
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT
United Way of Brevard, its Affiliate Groups and all Brevard County Municipalities WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT.

In consideration for participation in the Mayors' Fitness Challenge, I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE United Way of Brevard or Health First, any of its affiliate members and any city in Brevard County, from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me while participating in any physical activity related to the Challenge.

I understand that I should consult my physician before engaging in any physical activity if I have any preexisting condition which could be harmful to me while engaging in physical activity.
I understand and agree to all terms in this waiver. *
Required
Administrator of the 2021 Health First Mayors' Fitness Challenge
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