Women's Fair Fitness Challenge Form

Team Name:
Team Captain:
Email:
Captain Phone:

Participant Number 1:
*Most communication will be through email.

Participant Number 2:
*Most communication will be through email.

Participant Number 3:
*Most communication will be through email.

Participant Number 4:
*Most communication will be through email.


Club Preference:	Rock Road	West Central
	East Central	West 13th
	Hutchinson

Have any members of the team ever exercised before?	Yes	No

If so, how many are currently exercising?	1	2
	3	4

On average, how many times per week does your team exercise?	0 days/wk	1-2 days/wk
	3+ days/week

What are your goals during the challenge?	Lose Weight	Stress Management
	Healthier lifestyle	Feel Better

Type of exercise is your team interested in?	Group Fitness	Aquatics
	Weight Training	Cardiovascular

What does your team feel they could use more information on?	Exercise	Nutrition

Ages of team members:	13-17	18-24
	30-35	35-40
	41-50	51-60
	60+

Has your team ever participated in a Genesis fitness challenge before?	Yes	No

Please fill out all of the information below to enter your team in the Genesis Fitness Challenge.
Participants (atleast two per team) must complete registration by attending the Women’s Fair.