Gold's Gym Challenge 2020
Please fill out and submit your information and payment below. Upon receipt, you will receive an email with next steps, including how to schedule your starting photos/measurements. If you do not receive an email in your inbox after submitting your form below, please check SPAM. If you still don't see a message, please email middletown@goldsgymhv.com requesting NEXT STEPS. Thank you in advance. Good luck in the Gold's Gym Challenge!
I am a member of (pick one):
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Gold's Gym Newburgh
Gold's Gym Middletown
Name
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First Name
Last Name
Date of Birth (on start date);
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Month
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Day
Year
Date
Gender:
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Male
Female
Height:
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Feet and inches
E-mail
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example@example.com
Phone Number (Cell):
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Area Code
Phone Number
Which Challenge flight are you choosing? Gold's Gym Newburgh and Middletown members may sign up for ANY flight in either location (doesn't have to be your home club). You must then FINISH within the same flight at the same location.
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Flight A - Gold's Gym Middletown: START Mon, Tues, or Wed (Jan 6, 7 or 8), FINISH Mon, Tues, or Wed (Mar 30, 31, or Apr 1)
Flight B - Gold's Gym Newburgh: START Thurs, Fri, or Sat (Jan 9, 10, or 11), FINISH Thurs, Fri, or Sat (Apr 2, 3, or 4)
Flight C - Gold's Gym Newburgh: START Thurs, Fri, or Sat (Jan 23, 24, or 25), FINISH Thurs, Fri, or Sat (Apr 16, 17, or 18)
Flight D - Gold's Gym Middletown: START Sun, Mon, or Tues (Jan 26, 27, or 28), FINISH Sun, Mon, or Tues (Apr 19, 20, or 21)
Flight E - Gold's Gym Newburgh: START Tues or Wed (Feb 4 or 5), FINISH Tues or Wed (Apr 28 or 29)
Are you currently working with a personal trainer? If YES, who? If NO, please list the best days/times when you're typically available to do your FREE Challenge training session.
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PAYMENT: The Gold's Gym Challenge entry fee of $90 is the only REQUIRED charge (with part of the fee going to the local prize pot). All other items listed below are OPTIONAL. Click any option(s) you would like to choose at this time to help you achieve your best possible Challenge transformation. NOTE: Any training and nutrition services purchased now (or during the Challenge) MUST BE USED BY THE END OF YOUR 12-WEEK CHALLENGE JOURNEY. Unused training sessions and services may not be carried over beyond the end of your 12-week Challenge period.
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Gold's Gym Challenge entry fee (REQUIRED)
$
90.00
1 hour private nutrition consultation
$
45.00
6 Weeks of Group Training (Gold's Studio/Alloy)
$
133.00
12 Weeks of Group Training (Gold's Studio/Alloy)
$
267.00
6 Personal Training 1-Hour Sessions
$
303.00
12 Personal Training 1-Hour Sessions (INCLUDES $15 credit to member pre-paid account)
$
588.00
24 Personal Training 1-Hour Sessions (Plus INCLUDES 12 Weeks of Alloy Training/Gold's Studio AND $20 credit to member pre-paid account!) This is your best VALUED option for personal training. Payment may be split into two payments of $570 each. First $570 payment due now and second $570 payment due one month later.
$
570.00
5 Personal Training 30-Minute Sessions
$
200.00
10 Personal Training 30-Minute Sessions
$
380.00
ALL NEW - FRIENDS & FAMILY TRAINING - 12 SESSIONS (Only choose this option if you have 1 to 3 other people who are buying this option and wiling to train with you at the same time. We will assign a trainer to your small group).
$
297.00
ALL NEW - FRIENDS & FAMILY TRAINING - 24 SESSIONS (Plus INCLUDES 12 Weeks of Alloy Training/Gold's Studio AND $15 credit to member pre-paid account!) This is your best VALUED option for Friends & Family Training. Only choose this option if you have 1 to 3 other people who are buying this option and wiling to train with you at the same time. We will assign a trainer to your small group.
$
576.00
10 Yoga Classes
$
45.00
20 Yoga Classes
$
80.00
ONE 30-Serving Bag of Shakeology (Choice of Flavor)
$
129.95
TWO 30-Serving Bags of Shakeology (Choice of Flavors) - $10 Discount Per Bag!
$
239.90
THREE 30-Serving Bags of Shakeology (Choice of Flavors) - $20 Discount Per Bag!
$
329.85
Total
$
0.00
PLEASE READ AND INITIAL. I understand that my sign-up fee for the Gold's Gym Challenge is non-refundable. I also understand that any discounted training packages that I purchase here must be used prior to the end of my 12 week Challenge, and that any training fees are non-refundable, in whole or in part, regardless if I use my training sessions or not.
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PLEASE READ AND INITIAL. To complete the 2020 Gold’s Gym Challenge and be considered a FINISHER, participants must meet the following criteria: (1) Official BEFORE measurements and pictures; (2) Official AFTER measurements and pictures (completed within the same flight as the BEFORE measurements and pictures); (3) Essay on their experience with the contest (must be submitted no later than two days after end measurements are taken). Notes: (a) Gastric bypass or any enhancement surgery done within one year of the program dates will eliminate a participant from winning prize money. Additionally, they will not be eligible to receive photos or attend the reception. (b) Previous local winners will be ineligible for local prize money if their 2020 starting weight is more than 10% heavier than their finishing weight within the past 2 years. Previous national winners are not eligible to win national prize money again under any circumstances.
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PLEASE READ AND INITIAL. For valuable consideration received, I hereby grant to Gold’s Gym, its agents or assigns, the absolute and irrevocable right and unrestricted permission with respect to measurements/photographic portraits or pictures which Gold’s Gym has taken of me or in which I may be included with others, to copyright the same, in its own name or otherwise; to use, re-use, publish and re-publish the same in whole or in part, individually or in conjunction with other photographs, and in conjunction with any other printed matter, in any and all media now or hereafter known, and for any purpose whatsoever, for illustration, promotion, art editorial, advertising and trade, or any other purpose whatsoever without restriction as to alteration; and to use my name in connection therein as it so chooses All measurements/photos are the sole property of Gold’s Gym. Only participants who complete the contest in its entirety will be given copies of their photos at/following the judging and reception. I hereby release and discharge Gold’s Gym, its agents or assigns, from any and all claims and demands arising out of or in connection with the use of the photographs, including without limitation any and all claims for libel or invasion of privacy. This authorization and release shall also insure to the benefit of the heirs, legal representatives, licensees, and assigns of Gold’s Gym, as well as the person(s) for whom the photographs were taken. I am of full age, 18 years or older, and have the right to contract in my own name. I hereby certify that I am physically and mentally fit and have no impairments that would prevent me from taking part in this contest. I understand that Gold’s Gym suggests medical clearance prior to beginning this contest or any new exercise/nutrition program. I understand that the contest fee is not fully refundable under any circumstance. If within the first 30 days I am deemed medically unable to participate, I understand I am required to request withdrawal from the contest, in writing, which must be accompanied by a note from my physician. Upon Gold’s Gym’s receipt of my withdrawal request, a partial refund of $50 will be issued. No refunds/withdrawal requests will be considered after 30 days from my starting. I have read the foregoing and fully understand the contents thereof. I understand that falsification of information will result in immediate disqualification from the contest. This release shall be binding upon me and my heirs, legal representatives and assigns. I waive everyone connected with this event from any and all liability which may arise.
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