2013 you lose you win

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    You Lose, You Win Weight Loss Challenge

    What: 8 week weight loss competition

    When: Monday, January 7th

    -Monday, March 3rd

    Who is eligible? All U.S. Xpress, Xpress Global, and Total employees with a BMI

    of 25 or greaterwho are ready to get in shape for 2013! (Pregnant women should

    not participate)

    Kick Off:A kick off meeting will be held Monday, January 7th at 12 p.m.in the

    West Building, first floor focus for Chattanooga employees. A conference call kick

    off will be held for all off site employees on Monday, January 7that 3 p.m. EST. Ifyou plan to participate you should attend this meeting. During the meeting, you

    will have your initial weigh in (off site employees should weigh in with your

    locations official liaison or send official weight and before photo to Mary

    Augustino by 4 p.m. EST January 7th). If you are unable to attend this meeting you

    may schedule your weigh in within 24 hours.

    Weekly Meetings: Meetings/Conference calls will be held each week to

    encourage participants and give them the tools they need to be successful in their

    weight loss. A different topic will be covered each week. Meetings are not

    mandatory, but are encouraged.

    How to Sign Up: If you are interested in participating you must submit signed

    informed consent & completed Participant Info form (attached) to Mary

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    Augustino by Thursday, January 3rd, 2013. Email:[email protected]

    Fax: 423.510.6490

    Rules & Guidelines:

    Winners will be determined by percentage of weight loss, not poundslost. Participants at locations with a challenge liaison must attend an official

    initial and final weigh in. If your location does not have a challenge

    liaison or you are a driver that is not able to get to a terminal for official

    weigh in, you must send a photo of your weight recorded on a scale as

    well as a before and after photo of yourself as proof of your official

    weight. You must weigh in on the same scale for initial and final weigh

    in. (All participants that provide an email address will be emailed weekly

    meeting materials) All participants must send self-reported weekly weigh ins to Mary

    Augustino by 4 pm EST every Monday. 2 missed weigh ins will result in a

    disqualification.

    Body weight will be kept confidential, but percentage of weight loss maybe made public.

    Participants are on the honor system and should participate in onlyhealthy and safe methods of weight loss. Prohibited methods include,

    but are not limited to:

    o Diet pills (appetite suppressants, metabolism enhancers, etc.)unless prescribed by your physician

    o Water pills (diuretics) unless prescribed for a medical conditionsuch as hypertension

    o Fasting/Starvation Winners will be announced after the final weigh in on Monday, March

    3rd

    Prizes:

    There will be weekly prize drawings for all those that send in their weeklyweight on time.

    Cash prizes will be given to male and female 1st, 2nd, and 3rdplace winnerso 1stPlace: $200o 2ndPlace: $100o 3rdPlace: $50

    mailto:[email protected]:[email protected]:[email protected]:[email protected]
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    Each participant will receive 50 Highway to Health points for participatingIf you have any other questions concerning this challenge, please contact Mary

    [email protected].

    mailto:[email protected]:[email protected]:[email protected]:[email protected]
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    You Lose, You Win Weight Loss Challenge

    Waiver Form

    I am participating on a voluntary basis in the You Lose, You Win Weight LossChallenge and understand that I may stop participation at any time.

    I understand that the You Lose, You Win Weight Loss Challenge encourages

    healthy lifestyle and emphasizes that following sensible guidelines for eating and

    physical activity is important to overall health. Therefore, I will only participate in

    safe methods of weight loss to ensure long lasting weight management.

    I hereby affirm, to the best of my knowledge that I do not suffer from any

    condition that would prevent or limit my participation in this challenge and havenot been advised by any physician that I should refrain from participating in

    exercise. In addition, I acknowledge that if my health changes during the duration

    of the challenge it is my responsibility to seek medical advice to determine if

    continued participation is appropriate for my health.

    I release U.S. Xpress, the wellness committee, and other participating sponsors

    from liability now or in the future.

    I have read this form, and understand and agree to the guidelines established forthis program. I understand the possible risks involved with my participation, and

    having had an opportunity to ask questions that have been answered to my

    satisfaction; I consent to participate in the You Lose, You Win Weight Loss

    Challenge.

    Name of Participant (please print)

    ____________ ______________________________________________Date Signature of Participant

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    Participant Information Form

    Name: _________________________________________________________

    Position/Dept:__________________ Employee ID:_____________

    Phone #/Ext: ___________________ Email:___________________

    Birthdate: ___________ Sex: _______

    Current Weight:________ Height:________

    Starting BMI:______

    Weight Measurer Participant

    Initials: Initials:

    First Day ______ ______

    Final ______ ______

    Weight Change: Percent Weight Loss:

    Ending BMI:

    Below to be filled out by wellness representative