* 1. Your name:

* 2. Your email address:

* 3. Your phone number:

* 4. Your age:

* 5. Gender:

* 6. Your home zip:

* 7. Your Get Moving goal (lose weight, have more energy, learn to ride a bike, try salsa dancing, etc. - we want to hear what you want out of this challenge!)

* 8. Would you like a challenge coach - someone to help keep you motivated and moving in the right direction? We highly recommend it - and it is free!!

* 9. Terms of Use:
The Get Memphis Moving (GMM) challenge and the GMM Sites contain information, facts and opinions from various individuals and organizations. The GMM service and site are provided on an “as is” basis without warranties of any kind. Neither GMM nor its sponsors endorse or are responsible for any opinion given, or claims made by users on this site. The information, facts, and opinions provided are no substitute for professional advice. Always consult your primary care physician for any medical advice, diagnosis, or treatment and before undertaking a new diet or exercise plan. The GMM service and the GMM site is for informational purposes and should be used in conjunction with health care professionals.

I understand and acknowledge that there are inherent risks associated with exercise, and I agree that all exercise and activities that I engage in during the Get Memphis Moving Challenge will be done at my own risk. I waive my right to any claims against Get Memphis Moving or any partners associated with the program, and agents, which may arise out of any activity, event, or my presence at any sponsored event of Get Memphis Moving.