Lose To Win - Conquerors
Become a CONQUEROR! Join us as we CONQUER our barriers to a healthy life!
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First Name *
Last Name *
Email Address *
Phone # *
Gender *
Individual or Team Participant? *
If Team, list Your Team Members Below or type "NA". Each team member must register themselves as well. *
CONSENT: PLEASE READ. 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 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, 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. *
Type Your Name As Consent To Participate *
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