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  • Losing to Live Registration Form

  • Welcome to our online registration and payment for the Losing to Live: Weight Loss Competition. Please fill out the information on the form below. Fields that are required are appropriately marked. Once you have finished, hit the "Submit Registration" button to proceed to registration verification and payment.

    REGISTRATION IS OPEN! The registration fee is $50.00.

    Don't try to lose weight alone. Join a team of losers!! This team competition offers you an opportunity to lose weight in a fun and supportive environment.

    PARTICIPATE ON-SITE OR ONLINE!

    The weekly competition starts Sunday, September 25 and ends on Sunday, December 4 and will go from 6:00-7:30 PM each Sunday evening.

    Speakers include Pastor Steve Reynolds, doctors, nutritionists, fitness instructors, and personal success stories. The team meetings include a large group time from 6-6:30PM to hear speakers and a small group time from 6:30-7:30pm to receive support. Come and be part of a team!

    Instructions: Please complete the event registration form for this event. An email confirmation will be sent to you. Your request will be processed within 1 business day. You must read and agree to the waiver below. We look forward to seeing you at this event.


  • Contact Information


  • * Charges for registration will be automatically calculated based on information provided on registration form.

    Registration includes official Losing to Live kit. The registration fee is $50.00. Sign up now.

    New Registrant Kit contains:

    • Bod4God Book by Pastor Steve Reynolds
    • Small Simple Changes to Weight Loss and Weight Management by Rich Kay
    • Official Losing To Live t-shirt
    • Magnet for Fridge
    • Active Team Support
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  • My goal is to lose ____ pound(s) during this 12 week competition. (The average weight loss is 1-2 pounds per week).  Insert # below:

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  • Order Information

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    • $50
    • $9
    Total Price

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  • AFTER CLICKING "SUBMIT REGISTRATION" YOU WILL BE AUTOMATICALLY REDIRECTED TO OUR PAYMENT PORTAL.  YOU MUST FILL OUT PAYMENT INFORMATION TO BE INCLUDED IN THE PROGRAM.