Get Your Posture Challenge Password
If you do not already have the password for the Back to Life Posture Challenge, complete the information below and agree to the Challenge Participation & Privacy Consent. After you submit the form and agree to the Challenge Participation & Privacy Consent, your Posture Challenge password will be displayed.
First Name
Last Name
Email Address
Challenge Participation & Privacy Consent
By checking the box below, I understand that the Back to Life Posture Challenge is a voluntary wellness and exercise challenge provided by Back to Life Chiropractic. I understand that I am responsible for deciding whether the activities are appropriate for me and for stopping any activity that causes pain, discomfort, dizziness, or other concerning symptoms. I understand that participation in the challenge does not create a doctor-patient relationship, does not replace individual chiropractic care or medical care, and that Back to Life Chiropractic is not providing individualized medical advice through the challenge.
I understand that the information I submit for the challenge, including my name, email address, challenge nickname, weekly activity results, scores, notes, and related participation information, may be collected and used by Back to Life Chiropractic to administer the challenge, calculate and track scores, communicate with me about the challenge, and maintain challenge records. My information will not be publicly displayed by my actual name as part of the challenge leaderboard.
I understand that my challenge nickname may be displayed publicly or within the Back to Life Chiropractic office only if I separately give permission through the Leaderboard Nickname Consent on the weekly results form.
I understand that I may choose not to participate in the challenge and may stop participating at any time.
[acceptance* challenge-consent] I have read and agree to the Challenge Participation & Privacy Consent above.