Name of Employee:_______________________________________

AGREEMENT

I, ____________________________________________ , understand that my full participation in the USACHPPM "Targeting Fitness" Civilian Health Promotion Program will require three one-hour sessions each week for a total of 78 hours over the course of six months unless illness or injury dictate otherwise. I understand that participation will be my place of duty if permitted to attend during working hours.

I hereby agree to hold harmless and release the United States, The Department of the Army, Aberdeen Proving Ground, and the USACHPPM and all their agents and employees from any and all claims and demands resulting from any loss, damage, death, or injury to me or my property that may arise due to my participation in this program other than negligence on their behalf.

I understand that some portions of this program may be physically demanding, and I certify that I am in sufficient health to participate in the USACHPPM "Targeting Fitness" Civilian Health Promotion Program.

I have read and understand the requirements of "Targeting Fitness" Participation Guidelines.