Fitness Registration Form

Name*

First Last

Delegation*

Your role with SOMN*

Your email address*

Your birthday*

MM

DD

YYYY

Gender*

Female
Male

Which weeks of the fitness challenge did you participate in?*

Select all if you completed all six weeks, or only select the weeks you participated in if you did not complete all six weeks.

Select All
Week 1: Stretching
Week 2: Hydration
Week 3: Mental Health
Week 4: Fruits & Veggies
Week 5: Endurance
Week 6: Strength

What was your favorite activity?*

Safety Statement

Review the safety information below:*

Regular physical activity is vital for good physical, social and emotional health. While there is a risk of injury with any type of physical activity, the benefits of staying active far outweigh the risks.

You can reduce your risk of exercise injury by:

• Wearing the right shoes
• Using the correct equipment
• Drinking lots of water – stay hydrated
• Warming up and stretching properly
• Be aware of your surroundings - exercise in a safe and level area clear of any obstacles or items
• Maintain social distancing rules when exercising.

Stop exercising immediately and seek medical help if you experience symptoms such as:

• Discomfort or pain
• Chest pain or other pain that could indicate a heart attack, including pain in the neck and jaw, pain traveling down the arm or pain between the shoulder blades
• Extreme breathlessness
• A very rapid or irregular heartbeat during exercise.

I have read the safety statement above.

Fitness Registration Form

2021 Spring Season Fitness Registration Form

Safety Statement