W E I G H T L
O S S C H A L L E N G E
Registration Handouts for Week
1
Online Weight
Loss Challenge Participation Agreement
Thank you for your interest in
the Online Weight Loss Challenge and Nutrition Classes! Through the Challenge,
Herbalife Independent Distributors (also known as coaches) are able to help
participants work toward their weight-loss goals and improve their overall
wellness. We want you to have a great time as you have fun and meet new friends
at our Weight Loss Challenge. Remember that any reasonable diet or
weight-management program includes exercise and sensible meals, and its always
a good idea to consult your primary physician before starting an exercise or
weight-management program.
The coach responsible for this Challenge: Wayde Drain (204) 239-7001 or Toll
Free 1-800-660-9195
Please read this document
carefully and sign it to confirm that you understand all of the general terms
of
the Online Weight Loss Challenge
and Nutrition Classes.
In return for your Participation
Fee of $35.00 and upon signing this document, you are entitled to participate
in the Weight Loss Challenge identified below and you will be eligible for the
various prizes and/or payouts which are awarded upon its conclusion. You will
also attend weekly weigh-ins where you will have the opportunity to ask
questions, receive coaching and education.
This Weight Loss Challenge
begins the week of _____________ and ends the week of ________________.
(Dates are subject to change)
Coaches are independent
business persons; they are solely and exclusively responsible for the operation
and details of each Weight Loss Challenge.
The purchase or consumption
of Herbalife products in conjunction with your participation is recommended,
but not required.
The Participation Fee of
$35.00 covers all prize payouts, plus minimal operational costs.
The Weight-Gain Fee is
$1* per pound for weight gained since the last recorded weigh-in.
The Absence Fee is
$5.00 for each unexcused absence. One (1) unexcused absence is allowed without
penalty.
The Participation Fee is
fully refundable if requested by the participant within the first 48 hours of the
Challenge start date.
There are NO Participation
or Absence Fees if you are only participating in the Nutrition Classes as
well as no prize payouts.
Weight-Loss Payouts are
paid to the top 3 weight losers as follows:
An Inches Payout is
paid to the participant who loses the most inches and is not also a top 3
weight loser; this winner receives all money collected from the Weight Gain and
Absence Fees. If there are no Absent Fees, this participant will share
If, after reading this
document, you have any further questions about the Weight Loss Challenge, do
not hesitate to ask the coach(es)
listed in this Agreement.
As a participant, you should
communicate regularly and fully about your progress and never hesitate to ask
questions, so you can receive the appropriate advice and coaching.
You must be at least 14
years of age to enter a Weight Loss Challenge; if you are 14 to 17 years old,
your parent or legal guardian must sign this Agreement on the line provided.
I, ______________________________________,
[print name], have reviewed and agree to all of the above.
Signature:
_____________________________________________________ Date: ______ /______
/______
Signature:
_____________________________________________________ Date: ______ /______
/______
(Parent or legal guardian
signature required if participant is under the age of 18.)
Address:
________________________________________________________________________________
City:
______________________________________________________ Postal/Zip:
_______________
Phone: _________ - _________ -
_______________ Email:
______________________________________
How did you hear about this
Challenge? (please check)
[_] Prior participant [_] Referred by a friend (name): _____________________________________
[_] Newspaper ad [_] Postcard (color of postcard or name listed):
_________________________
[_] Other: _______________________________________________________________________________
Registration Handouts for Week
1
W E I G H T L O S S C H A L L E N G E