2013 you lose you win
TRANSCRIPT
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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
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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
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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