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2023 FATIGUE FIGHTERS Participant Registration

FATIGUE FIGHTERS Registration

Please complete the following.

1. First we have to get the 'fine print' out of the way!

Liability Waiver and Challenge Registration

Please note: You are encouraged to consult with your health care provider before starting this or any other nutrition or fitness program to determine if it is right for your needs.

I, the undersigned employee, desire to participate in the FATIGUE FIGHTERS Challenge (the “Voluntary Activity”).
In consideration for the opportunity to participate in the Voluntary Activity, I waive any and all claims for damages against my employer, directors, employees, representatives, agents and subcontractors that may directly or indirectly arise from, out of, or in connection with my participation in the voluntary activity.
I understand that the information provided throughout this challenge is for educational purposes only and is not a substitute for medical advice, diagnosis or treatment. I will seek the advice of a qualified health care provider with any questions regarding a medical condition or treatment.
I acknowledge that I have been encouraged by my employer (via this waiver) to consult with my personal physician before starting the Voluntary Activity to ensure that it is safe for me to do so.
I further acknowledge and agree that any changes in my diet or exercise, or the use of any dietary supplements (including, but not limited to, weight reduction supplements and appetite suppressants), are my sole responsibility and at my sole discretion, and are not made or used at the encouragement, direction or coercion of my Employer or the Challenge Administrator.

*This question is required.

2. Please enter your contact information. NFP collects this information for the sole purpose of administering this Challenge and does not use, sell, trade or exchange this information for anything other than this specific Challenge. *This question is required.

First name
Last name

3. What organization do you work for? Scroll to find and CAREFULLY SELECT yours. IF YOU DON'T FIND YOUR ORGANIZATION, PLEASE ENTER IT UNDER 'OTHER'. *This question is required.

At which MONARCH site do you work? (Scroll below for location) *This question is required.

What is your Washington County Employee ID? This question requires a valid number format.

Which JHF group do you belong to? Please select from the list:

4. Please enter your e-mail and be sure to check for typos. Please provide the e-mail you will most easily access throughout the Challenge.
*This question is required. This question requires a valid email address.

5. What do you think is getting in the way of experiencing the energy you'd like?

Sleep
Stress
What I eat and/or drink
ALL OF THE ABOVE!
Other - please share! Please enter an 'other' value for this selection.