Pledge

1. My Pledge

1. I acknowledge and accept the responsibility of making a commitment to this program as it is presented to me. I am aware that it may not be easy, but my commitment is to try my very best.

I acknowledge and accept the responsibility of making a commitment to this program as it is presented to me. I am aware that it may not be easy, but my commitment is to try my very best. I agree

2. It is my responsibility to inform my counselors, fitness advisers and/or personal trainers of any pre-existing medical conditions. This information will be kept strictly confidential.

It is my responsibility to inform my counselors, fitness advisers and/or personal trainers of any pre-existing medical conditions. This information will be kept strictly confidential. I agree

3. My first goal requires a ____ week commitment. Nothing should interfere with my progress. However, if such an event is foreseeable, my counselors, fitness advisers and/or personal trainers and I will schedule alternative dates for follow up appointments.

My first goal requires a ____ week commitment. Nothing should interfere with my progress. However, if such an event is foreseeable, my counselors, fitness advisers and/or personal trainers and I will schedule alternative dates for follow up appointments. I agree

# of weeks commitment

4. I understand all guarantees are forfeited if I:
Miss any scheduled follow-up
Fail to complete my journal properly
Fail to disclose pre-existing medical conditions

I understand all guarantees are forfeited if I: Miss any scheduled follow-up Fail to complete my journal properly Fail to disclose pre-existing medical conditions I agree

5. Name:

Name: