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This is the official registration form for the 6 Week Winter Challenge 2017. This will help lay the winter foundation for good eating and exercise habits.


Winter training can be difficult but brings tremendous gains come spring time. Not only will you get consistent winter training & heathy nutrition plans, you will also go in the draw to win $500 cash (T&C’s apply*).


The cost is $129.00.





I am voluntarily participating in the 6 Week Winter Challenge for 2017.


I recognize that the program requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.


I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the above mentioned programme.


I represent and warrant that I have no medical condition that would prevent my participation in the programme.


I agree to assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of participating in the programme. Such injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness.


I knowingly, voluntarily and expressly waive any claim I may have against Simply Fitness, or any coach or trainer associated with Simply Fitness, for injury or damages that I may sustain as a result of participating in the challenge.


I understand that any images or video/audio taken during the 6 Week Winter Challenge may be used for promotion of Simply Fitness.


I understand that I may be contacted by Simply Fitness for promotional purposes.


I have read the above waiver and release of liability and fully understand it contents.


I voluntarily agree to the terms and conditions stated above.


PRIZE WINNER TERMS & CONDITIONS: The major prize is for one lucky winner only and will be drawn the week following completion of the 6 Week Winter Challenge.


The major prize will only be offered on achieving the minimum sign-up of participants into the challenge.


The winner will be drawn and the winner will be announced on Facebook, the week after the challenge finished. Date TBC. $500.00 will be deposited into winners nominated bank account within 7 days of winner being drawn and receiving the bank account details.


By submitting this form I am committing to the 6 Week Winter Challenge, and agree to the liability waiver and the T&C’s above and agree to pay the full amount of $129.00 regardless of my completion of the challenge. Full payment is due on submitting of the form. Payment instructions will be emailed to the email address provided in your registration.


Proudly supported by:

Emma Cachemaille

BSc [Physiology], BPhty, PGCert [Human Nutrition], Acc.NZTri Coach Level1, ISAK Level 1

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