Full Name *

Company Name*

Email*

Phone Number*

InBody Model*
InBody 230InBody 270InBody 370InBody 370SInBody 520InBody 570InBody 720InBody 770InBody S10Do not own

LookinBody Model*

—Please choose an option—LookinBody 110LookinBody 120LookinBody R10LookinBody WebDo not own

Name of Challenge *

Challenge Location*

Initial Weigh-In Date*

Initial Weigh-In Time*

Final Weigh-In Date*

Final Weigh-In Time*

Purpose of Challenge*

Expected # of Participants*

Who is eligible to participate?*

Registration Fee*

Winning Criteria*

Number of Winners*

Prizes*

When will the winners be announced?*

Prizes*

How will the winners be announced?*

Who is eligible to participate?*

What services or equipment doyou need InBody to provide?*

Can InBody take photos during the event?*

YesNo

Can InBody interview Challenge participants once it concludes?*

YesNo