Gold's Gym Challenge Sign Up - Middletown Employee

Middletown Employee Individual Sign-Up

To secure your spot:

1. Complete the fields below.
2. Submit your payment.

Note for Middletown Employees:

All starting and finishing measurements (InBody Scans) for this year’s Gold’s Gym 12-Week Transformation Challenge will take place exclusively at Gold’s Gym Newburgh. This also includes all complimentary Trainer Workshops, which will be hosted at the Newburgh location throughout the Challenge.
Members & employees from Gold’s Gym Middletown are strongly encouraged to participate! Middletown participants will simply complete their before and after measurements at Gold’s Gym Newburgh to remain eligible for the challenge and prize money.

Complimentary Personal Training Session:

All challenge participants—including Middletown members and employees—may take advantage of the complimentary personal training session included with the challenge. 

• This session will be scheduled with a trainer at the Newburgh location.  • Participation is not mandatory to remain eligible for prize money, but it is highly encouraged to maximize your results.

Why All Training Sessions & Workshops Are Held in Newburgh:

Due to ongoing construction and limited trainer availability at the Middletown location, we are unable to host complimentary training sessions or workshops in Middletown this year. Centralizing these services in Newburgh ensures that every participant receives consistent coaching, support, and high-quality instruction.

Workshops and complimentary PT sessions remain optional, but designed to help participants achieve their best possible transformation.

We’re excited to support you every step of the way—let’s make this the strongest challenge yet!

Name*

First NameLast Name

Phone Number (cell is preferable)*

Area CodePhone Number

Email*

example@example.com

Date of Birth*

Date

Current Age*

Gender:*

MaleFemale

Height:*

Feet & Inches

Please write the name of your immediate manager or supervisor at Gold's Gym Middletown*

Name of Supervisor/Manager

Who (if anyone) encourgaed you to sign up for the Gold's Gym Challenge? If nobody, how did you hear about it?*

Which one applies?*

This is my first Gold's Gym Challenge.I have participated in the Gold's Gym Challenge in the past.

Gold's Gym Challenge Completion Requirements and Participant Acknowledgment: Please Read Carefully and Initial Below. To qualify as a FINISHER of the Gold’s Gym Challenge, I, the undersigned, acknowledge and agree to the following requirements: InBody Scans: I must complete an official BEFORE InBody Scan at Gold’s Gym Newburgh (hereinafter “Gold’s Gym”) within the specified flight I choose. I must complete an official AFTER InBody Scan at the same Gold’s Gym location and within the same specified flight as my BEFORE InBody Scan. Challenge Experience Questionnaire: I must complete and submit the required "My Challenge Experience" questionnaire no later than two days following my AFTER InBody Scan. Disqualification Criteria: I understand that undergoing gastric bypass or enhancement surgery within one year of my START date disqualifies me from eligibility for any prize money. By initialing below, I confirm my understanding and agreement to the above requirements.*

Enter your initials

Liability Waiver and Release Agreement: Please Read Carefully and Initial Below. For valuable consideration received, I hereby grant Gold’s Gym Newburgh, Gold’s Gym Middletown (hereinafter "Gold's Gym"), AlignLife Newburgh, AlignLife, and their agents, representatives, and assigns the following rights regarding the InBody Scan conducted on me: Use of InBody Scan and Name: I irrevocably grant Gold's Gym and AlignLife unrestricted rights to copyright, use, publish, and re-publish my InBody Scan, in whole or in part, in any media, for any purpose, including but not limited to promotion, advertising, editorial, trade, or artistic purposes. This includes the right to use my name in connection with these materials. Release of Claims: I release Gold's Gym, AlignLife, their agents, representatives, heirs, legal successors, licensees, and assigns from all claims, including but not limited to libel, invasion of privacy, or other liabilities arising from the use of the InBody Scan. Acknowledgments: I certify that I am at least 18 years of age and legally competent to sign this agreement.I confirm that I am physically and mentally fit to participate in this contest and understand the recommendation to obtain medical clearance before beginning any exercise or nutrition program. Contest Fee and Withdrawal Policy: I understand the contest fee is non-refundable.If I am deemed medically unable to participate within the first 30 days, I may request withdrawal in writing. No refunds or withdrawal requests will be accepted after 30 days from my start date. Disqualification: I understand that providing false information will result in immediate disqualification from the contest. Waiver of Liability: I waive and release Gold's Gym, AlignLife, their agents, employees, and all connected parties from any and all liability arising from my participation in this contest. By signing below, I affirm that I have read, understood, and agree to all terms in this waiver. This agreement is binding on me, my heirs, legal representatives, and assigns.*

Enter your initials

Acknowledgment and Acceptance of Terms for Gold's Gym Challenge 2025: I, the undersigned, hereby acknowledge that I have read, understood, and agree to all terms, conditions, policies, and procedures associated with the Gold's Gym Challenge 2025 at Gold's Gym Newburgh and Gold's Gym Middletown. This includes, but is not limited to, all judging rules, policies, and provisions governing the Challenge as detailed in the FAQs and official guidelines available at www.goldsgymchallenge.com. BY SIGNING BELOW, I confirm that I am an employee of Gold's Gym Middletown and accept these terms and agree to abide by all rules and conditions as stated. SIGNATURE:

Click the box below to confirm your selection.*

$39 - Middletown Employee Individual Entry Fee$39.00

$39 sign up fee for Gold's Gym Challenge, participating as an individual.

Total $0.00

Enter your payment information and click SUBMIT to proceed.

You will then receive detailed instructions on the next steps, including scheduling your starting InBody scan.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.