Get fit, lose weight, improve your health and
Win big money!

Sign up today!

There are two easy ways to signup for the Treasure Valley Weight Loss Challenge:

Option 1: Download form and register at weigh-in

Read the brochure and rules, download, fill out the entry form, and pay when you weigh in at the Kick-off Jan. 9, 2010 in Boise or at Continuing Registration Jan. 10-23 in Boise and Meridian.

Option 2: Pre-register online and weigh-in Jan. 9 2010

Pre-register and pay your entry fee now. Then bring your receipt with you to expedite your initial weigh-in between Jan. 9-23 at Ladd Family Pharmacy or Humphreys Diabetes Centers in Boise or Meridian.

Acceptance of Rules and Release of Liability

By submitting this form, I am agreeing to all the rules and regulations of the $10,000 Treasure Valley Weight Loss Challenge. I understand the recommendations made, and I release Humphreys Diabetes Center, all participating sponsors, their agents, employees and directors of any and all liability for any and all events, personal injury, wage loss, medical bills and any and all other potential damages that could be associated with my participation in the Challenge.

The Weight Loss Challenge, Humphreys Diabetes Center and Ladd Family Pharmacy agree to keep all personal information confidential. If I am a winner, I authorize HDC to release my name, my weight loss information and my photos.