Lose and Win
Team Captain Registration Form
January 3 – March 6, 2008

Team Captain Responsibilities / Requirements:

  • Gather a team of 4-10 people before December 6, 2007
    (A team can be made up of co-workers, neighbors or adult family members.)

  • Collect and Return Team Member Registrations and Entry Fees
    (Entry fee of $20 per person; scholarships are available).

  • Appoint a co-captain to assist the captain with responsibilities.

  • Attend a Captain’s Meeting on December 6, 2007 OR December 13, 2007 at 6:00 pm
    Maine Coast Memorial Hospital Classroom (Park in the Acadia or Cadillac parking lots, watch for signs)
    OR in Deer Isle Wednesday, December 5, 2007 at Sunset Parish House

  • Select a team name that is fun and inspiring by December 6, 2007.

  • Set up a team goal i.e. weight loss, increase physical activity, quit smoking, etc.

  • Remind team members to track progress for a healthy lifestyle change

  • Attend as many weekly meetings with your team as possible in Ellsworth (Thursdays at 6:OO pm) OR Deer Isle ( Wednesdays at 6:00 pm)

  • Be able to contact your team members easily to:
    - Collect team member weights -Arrange carpooling - Be a cheerleader
    - Distribute weekly recipes and healthy hints - Provide support

  • Report team weight each Monday, no later than 2 pm (a must)

  • Complete this form: No later than November 30, 2007

Once you have completed this form, we will make an appointment with you to pick up your Captain's Kit and pay registration fees.

Team Captain’s Name :
Address:
Home Phone:   Work Phone:
E-mail:
Co-Captain’s name:

Home Phone:   Work Phone:
E-mail:

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